DR. CLAYTE AUSTIN FLUKE (NPI# 1952710188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952710188 |
| Entity Type | Individual |
| Full Name | DR. CLAYTE AUSTIN FLUKE |
| Credential | D.D.S. |
| Practice Address |
1105 Island Park Blvd Apt 820 Shreveport LA 71105-4772 |
| Practice Telephone | 9038192698 |
| Mailing Telephone | 9038192698 |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2014-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 30172 | TX | Dental Providers |
| Street Address |
1105 ISLAND PARK BLVD APT 820 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-4772 |
| 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 | 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 |
| 1467634451 | William L Mccolgan Jr. | Dentist | 9125 Mansfield Road, Shreveport, LA 71118 | 2007-11-30 |
| 1730372590 | Carole Suzanne Windham | Dentist | 6140 Line Ave, Shreveport, LA 71106-2051 | 2007-08-23 |
| 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 | 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.