Restoration Dental Group LLC
Restoration Dental Group LLC is a Dental Clinic/Center in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2010.
- Licensed in
- LA
- In the registry since
- 2010
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2010 E 70th StShreveport, LA 71105-5306
Phone: (318) 797-1181
Fax: (318) 797-1180
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X · Licence 3384 (LA) |
|---|---|
| Dental Clinic/Center | Taxonomy 261QD0000X · Licence 6042 (LA) |
Record details
| NPI number | 1093035081 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Raymond Jarvis — Owner Of Restoration Dental Group L · (318) 797-1181 |
| NPI enumerated | June 2, 2010 |
| Last updated in NPPES | July 15, 2022 |
| Certification date | July 15, 2022 |
| Mailing address | 7607 Fern Ave. Suite 800, Shreveport, LA 71105 |
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