CUDDLE KIDS DENTAL CARE OF SHREVEPORT, LLC (NPI# 1770028946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770028946 |
| Entity Type | Organization |
| Organization Name | CUDDLE KIDS DENTAL CARE OF SHREVEPORT, LLC |
| Practice Address |
2433 E 70th St Suite A Shreveport LA 71105-4787 |
| Practice Telephone | 3185640595 |
| Mailing Telephone | 3185640595 |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2016-12-27 |
| Authorized Official Name | DR. CHRISHELLE WILLIAMS HEMPHILL (PEDIATRIC DENTIST/OWNER) |
| Authorized Official Telephone | 3185640595 |
| Authorized Official Credential | D.D.S., M.B.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
6416 | LA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1659523348 | 05 |
| Street Address |
2433 E 70TH ST SUITE A |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-4787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083702153 | Gary Stephen Key | Dentist | 2433 E 70th St, Suite A, Shreveport, LA 71105-4701 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1205301868 | Tatjhana Maury | Case Manager/Care Coordinator | 3325 Youree Drive, Shreveport, LA 71105 | 2018-10-10 |
| 1245710920 | Jefferey Douglas Adair Md | Non-Pharmacy Dispensing Site | 8860 Fern Ave., Suite 120, Shreveport, LA 71105 | 2018-08-21 |
| 1679059539 | Michael E Woolbert Dds LLC | Dentist | 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 | 2018-07-13 |
| 1881195675 | Adiba Bibi | Pharmacist | 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 | 2018-02-27 |
| 1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
| 1073028148 | Valerie Wooten Barcelona | Physical Therapist | 130 Kayla Street, Shreveport, LA 71105 | 2017-12-11 |
| 1710497615 | Jimmy Carroll | Counselor | 2960 Knight St, Suite 110, Shreveport, LA 71105 | 2017-10-05 |
| 1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
| 1619496452 | Shaqwana Hodge | Counselor | 2920 Knight St. Suite 110, Shreveport, LA 71105 | 2017-09-13 |
| Find all providers in zip 71105 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871936633 | Stephanie Phan Garrett | Dentist | 2859 Caribbean Cv, Shreveport, LA 71105-2763 | 2013-04-11 |
| 1073755435 | Pediatric Dental Partners, LLP | Dentist | 318 Carroll St., Shreveport, LA 71105-4132 | 2009-04-01 |
| 1902936289 | Bryan R. Stewart | Dentist | 318 Carroll St, Shreveport, LA 71105-4132 | 2007-03-06 |
| 1558428094 | Cecil Rhodes Lloyd | Dentist | 927 Shreveport Barksdale Hwy, Shreveport, LA 71105-2205 | 2007-01-03 |
| 1346479656 | Susan L. Chidlow | Dentist | 318 Carroll St, Shreveport, LA 71105-4132 | 2009-07-08 |
| 1891924205 | Lauren F. Wallace | Dentist | 318 Carroll St, Shreveport, LA 71105-4132 | 2009-07-07 |
| 1306075718 | Shannon M. Backofen | Dentist | 318 Carroll St, Shreveport, LA 71105-4132 | 2009-07-07 |
| 1790900264 | Daniel A Crawford | Dentist | 318 Carroll St, Shreveport, LA 71105-4132 | 2007-04-17 |
| 1275680852 | Holly C Cook | Dentist | 7600 Fern Ave, Building 800, Shreveport, LA 71105-5659 | 2007-01-04 |
| 1083628093 | Emily Steger Neeley | Dentist | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2006-07-27 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71105 |
Please comment or provide details below to improve the information on CUDDLE KIDS DENTAL CARE OF SHREVEPORT, LLC.
| 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.