Ivy Dental
Ivy Dental is a General Practice Dentistry in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2011.
- Licensed in
- LA
- In the registry since
- 2011
Practice location Address checks out
460 Ashley Ridge Blvd Ste 600Shreveport, LA 71106-7238
Phone: (318) 868-4188
Fax: (318) 868-9151
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 4645 (LA) |
|---|
Record details
| NPI number | 1063792752 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Andretta Porter-Williams — Owner · (318) 868-4188 |
| NPI enumerated | August 25, 2011 |
| Last updated in NPPES | August 25, 2011 |
| Mailing address | 460 Ashley Ridge Blvd Ste 600, Shreveport, LA 71106-7238 |
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