DR. CAROLE SUZANNE WINDHAM (NPI# 1730372590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730372590 |
| Entity Type | Individual |
| Full Name | DR. CAROLE SUZANNE WINDHAM |
| Other Name | MRS. CAROLE SUZANNE EVANS |
| Credential | DDS |
| Practice Address |
6140 Line Ave Shreveport LA 71106-2051 |
| Practice Telephone | 3188654620 |
| Practice Fax Number | 3188654622 |
| Mailing Telephone | 3188654620 |
| Mailing Fax Number | 3188654622 |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2007-08-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 4522 | LA | Dental Providers |
| Street Address |
6140 LINE AVE |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71106-2051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972008332 | Andrew Joseph Brouillette | Dentist | 385 Bert Kouns Industrial Loop Ste 700, Shreveport, LA 71106 | 2018-03-28 |
| 1548775885 | David Wayne Spears | Pharmacist | 10460 Norris Ferry Road, Shreveport, LA 71106 | 2017-12-08 |
| 1225559263 | Susan Anderson Roblow | Physical Therapist | 921 Unadilla Street, Shreveport, LA 71106 | 2017-06-29 |
| 1134656382 | James Lowder | Dentist | 8691 Line Ave Ste 300, Shreveport, LA 71106 | 2017-05-18 |
| 1144753708 | Laverne Brantley | Counselor | 328 E 69th St, Shreveport, LA 71106 | 2017-04-10 |
| 1437690849 | Biostat Laboratories, LLC | Clinical Medical Laboratory | 9742 Saint Vincent Ave Ste 200, Shreveport, LA 71106 | 2017-03-17 |
| 1841730728 | Cedric Thomas | Case Manager/Care Coordinator | 6811 Fairfield Avenue, Shreveport, LA 71106 | 2017-02-27 |
| 1225576192 | Nick Vergis | Pharmacist | 5828 Line Avenue, Shreveport, LA 71106 | 2017-02-10 |
| 1184162554 | Marilyn Johnson | Case Manager/Care Coordinator | 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106 | 2017-02-06 |
| 1417499740 | Pamela Lee | Counselor | 8802 Coyth Ln, Shreveport, LA 71106 | 2016-11-17 |
| Find all providers in zip 71106 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194385203 | Carlee Gilley | Dentist | 8691 Line Ave, Shreveport, LA 71106-6148 | 2019-06-20 |
| 1780247197 | Patricia Ann Hostyn | Dentist | 7344 Capistrano Dr, Shreveport, LA 71105-5036 | 2019-04-22 |
| 1326418518 | Deepasulochana Sivasankaraganesan | Dentist | 3719 Jewella Ave, Shreveport, LA 71109 | 2015-09-30 |
| 1891173449 | Miles for Smiles, LLC | Dentist | 610 Texas St, Shreveport, LA 71101-3554 | 2015-05-15 |
| 1902299233 | Brady H. Mosher | Dentist | 7251 Youree Dr, Shreveport, LA 71105 | 2015-03-11 |
| 1952710188 | Clayte Austin Fluke | Dentist | 1105 Island Park Blvd Apt 820, Shreveport, LA 71105-4772 | 2014-08-13 |
| 1467634451 | William L Mccolgan Jr. | Dentist | 9125 Mansfield Road, Shreveport, LA 71118 | 2007-11-30 |
| 1316158207 | Charles R Mcinnis | Dentist | 8938 Kingston Road, Shreveport, LA 71118 | 2007-05-24 |
| 1346458304 | Lester Ewing | Dentist | 923 Shreveport Barksdale Hwy, Shreveport, LA 71105-2205 | 2007-05-21 |
| 1700091600 | Kelly Braswell Dds LLC | Dentist | 3718 Jewella, Shreveport, LA 71109-4704 | 2007-05-14 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71106 |
Please comment or provide details below to improve the information on DR. CAROLE SUZANNE WINDHAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.