JEFFREY W SILMON (NPI# 1902014343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902014343 |
| Entity Type | Individual |
| Full Name | JEFFREY W SILMON |
| Credential | D.D.S. |
| Practice Address |
230 Carroll St Ste 1 Shreveport LA 71105-4248 |
| Practice Telephone | 3188691248 |
| Practice Fax Number | 3188691504 |
| Mailing Telephone | 3188691248 |
| Mailing Fax Number | 3188691504 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
5506 | LA | Dental Providers |
| Street Address |
230 CARROLL ST STE 1 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-4248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851360960 | John Bruce Lowe | Dentist | 230 Carroll St, Suite 5, Shreveport, LA 71105-4248 | 2006-03-14 |
| 1528359536 | Broadmoor Family Dentistry | Dentist | 230 Carroll St, #4, Shreveport, LA 71105-4248 | 2011-04-25 |
| 1093923427 | Christopher C Cosse | Dentist | 230 Carroll St, Ste 1, Shreveport, LA 71105-4248 | 2007-05-18 |
| 1518085372 | Jennifer Riddell Cooper | Dentist | 230 Carroll St, Suite 4, Shreveport, LA 71105-4248 | 2007-03-27 |
| 1912092651 | Southfield Family Dentistry, Inc. | Dentist | 230 Carroll St, Suite 5, Shreveport, LA 71105-4248 | 2006-10-04 |
| 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 | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674116 | Allison Haynie | Dentist | 1914 E 70th St Ste H, Shreveport, LA 71105-5312 | 2020-09-18 |
| 1689862260 | H. O. Blackwood, D.d.s. Apdc | Dentist | 814 Pierremont Rd, Shreveport, LA 71106-2034 | 2007-10-09 |
| 1871783886 | Richard T Nelson IIi | Dentist | 7878 Jefferson Paige Rd, Shreveport, LA 71119-8865 | 2007-07-26 |
| 1447383989 | William Clayton Cook | Dentist | 310 Carroll St, Shreveport, LA 71105-4132 | 2007-03-13 |
| 1124181235 | Billy Melvin Desoto | Dentist | 2515 Southside Dr, Shreveport, LA 71118-2120 | 2006-12-19 |
| 1073899001 | Benjamin Cole Foster | Dentist | 1914 E 70th St, Shreveport, LA 71105-5312 | 2011-10-21 |
| 1922235597 | Peter H. Nasser | Dentist | 9091 Ellerbe Rd, Suite 500, Shreveport, LA 71106-6738 | 2009-06-22 |
| 1093923427 | Christopher C Cosse | Dentist | 230 Carroll St, Ste 1, Shreveport, LA 71105-4248 | 2007-05-18 |
| 1851512388 | Louisiana Orthodontic Specialists | Dentist | 2530 Bert Kouns Industrial Loop, Suite 112, Shreveport, LA 71118-3132 | 2007-05-01 |
| 1346468469 | Ernest Cecil Farabee IIi | Dentist | 2530 Bert Kouns Industrial Loop, Suite 112, Shreveport, LA 71118-3132 | 2007-04-23 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71105 |
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| 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.