David Raines Community Health Center
David Raines Community Health Center is a Dental Clinic/Center in Shreveport, Louisiana. Registered with an NPI since 2008.
- In the registry since
- 2008
- Specialties on file
- 2
Practice location Address checks out
1625 David Raines RdShreveport, LA 71107-5899
Phone: (318) 425-2252
Fax: (318) 227-3357
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|---|
| Federally Qualified Health Center (FQHC) | Taxonomy 261QF0400X |
Record details
| NPI number | 1932369535 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Willie White — Ceo · (318) 425-2252 |
| NPI enumerated | June 17, 2008 |
| Last updated in NPPES | June 17, 2008 |
| Mailing address | 1625 David Raines Rd, Shreveport, LA 71107-5899 |
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