Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fern Avenue Dental Center

Organization Dentist · NPI 1114308582

Fern Avenue Dental Center is a Dentist in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2015.

Licensed in
LA
In the registry since
2015
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Practice location Address checks out

7600 Fern Ave Bldg 1100
Shreveport, LA 71105-5659
Phone: (318) 797-1550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 3291 (LA)

Record details

NPI number1114308582
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Heilman — Dentist · (318) 797-1550
NPI enumeratedJune 11, 2015
Last updated in NPPESJune 11, 2015
Mailing address7600 Fern Ave, Bldg 1100, Shreveport, LA 71105-5659

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