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

Ninta Southichack

Individual provider Dentist · NPI 1629777636

Ninta Southichack is a Dentist in Shreveport, Louisiana. Licensed in Louisiana and Texas. Registered with an NPI since 2023.

Licensed in
LA, TX
In the registry since
2023
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

230 Carroll St Ste 3
Shreveport, LA 71105-4248
Phone: (318) 693-0091
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

Dentist (primary) Taxonomy 122300000X · Licence 7641 (LA)
Dentist Taxonomy 122300000X · Licence 40137 (TX)

Record details

NPI number1629777636
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 28, 2023
Last updated in NPPESFebruary 24, 2025
Certification dateFebruary 24, 2025

Other providers in Shreveport