SCRUGGS DENTAL LLC (NPI# 1003385899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003385899 |
| Entity Type | Organization |
| Organization Name | SCRUGGS DENTAL LLC |
| Practice Address |
2001 E. 70th Street Suite 105 Shreveport LA 71005 |
| Mailing Address |
2403 Lacy Ln Carrollton TX 75006-6514 |
| Practice Telephone | 3187982008 |
| Mailing Telephone | 9728693789 |
| Mailing Fax Number | 9725908809 |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2018-11-21 |
| Authorized Official Name | FAITH GASKINS (DIRECTOR OF CREDENTIALING) |
| Authorized Official Telephone | 9728693789 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Scruggs Family Dentistry | Doing Business As Name - Organization |
| Street Address |
2001 E. 70TH STREET SUITE 105 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154736064 | Cvs | Public Health or Welfare | 7004 Youree Drive, Shreveport, LA 71005 | 2014-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790773 | De'sica Lavancer Mccray-stewart | Social Worker | 6428 Joy Dr, Shreveport, LA 71119-5110 | 2020-11-06 |
| 1740881754 | First Care Transport LLC | Non-emergency Medical Transport (VAN) | 7718 Jefferson Paige Rd, Shreveport, LA 71119-8863 | 2020-11-05 |
| 1962003863 | Kristen Dickerson Burns | Nurse Practitioner | 2530 Bert Kouns Industrial Loop Ste 138, Shreveport, LA 71118-6114 | 2020-11-05 |
| 1285235739 | Precision Telemed, LLC | Psychiatry & Neurology | 8977 Brandon Dr, Shreveport, LA 71118-2341 | 2020-11-02 |
| 1093316523 | Moveable Transportation | Non-emergency Medical Transport (VAN) | 1020 Ridgewood Dr, Shreveport, LA 71118-3434 | 2020-11-02 |
| 1083214837 | Angela Impson | Occupational Therapist | 8039 Line Ave Ste 1b, Shreveport, LA 71106-5145 | 2020-10-30 |
| 1881293355 | Sheronica V Simmons | Nurse Practitioner | 2751 Albert L Bicknell Dr Ste 3c, Shreveport, LA 71103-3943 | 2020-10-25 |
| 1063010148 | Marietta Suzanne Shepherd | Physical Therapist | 6723 Pines Rd Ste 112, Shreveport, LA 71129-2590 | 2020-10-12 |
| 1760089791 | Blanchard Medical | Clinic/Center | 5948 N Market St, Shreveport, LA 71107-2017 | 2020-10-02 |
| 1063019156 | Johnson Behavioral Health Group | Clinic/Center | 4830 Line Ave Ste 302, Shreveport, LA 71106-1530 | 2020-10-02 |
| Find all providers in SHREVEPORT | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679059539 | Michael E Woolbert Dds LLC | Dentist | 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 | 2018-07-13 |
| 1972008332 | Andrew Joseph Brouillette | Dentist | 385 Bert Kouns Industrial Loop Ste 700, Shreveport, LA 71106 | 2018-03-28 |
| 1003310053 | Erin O'neal | Dentist | 7030 Youree Dr Ste B, Shreveport, LA 71105-5109 | 2018-03-22 |
| 1487166450 | Emile T. Geneux IIdds, Benjamin A. Beach Dds, and Ross H. Dies Dds, Ll | Dentist | 2533 Bert Koun Loop Ste 107, Shreveport, LA 71118-3158 | 2017-10-31 |
| 1134656382 | James Lowder | Dentist | 8691 Line Ave Ste 300, Shreveport, LA 71106 | 2017-05-18 |
| 1720447147 | Dr. Monica A. Davenport, Dds Apc | Dentist | 1850 Martin Luther King Dr., Shreveport, LA 71107-5020 | 2016-02-12 |
| 1366822710 | A Brighter Smile | Dentist | 385 Bert Kouns Loop, Suite 700, Shreveport, LA 71106-8158 | 2015-06-01 |
| 1104250364 | Witte Family Dentistry, LLC | Dentist | 137 E Kings Hwy, Shreveport, LA 71104-3404 | 2013-08-23 |
| 1063792752 | Ivy Dental | Dentist | 460 Ashley Ridge Blvd Ste 600, Shreveport, LA 71106-7238 | 2011-08-25 |
| 1518290592 | Marian E Feducia | Dentist | 3503 Youree Dr, Shreveport, LA 71105-2119 | 2009-09-09 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71005 |
Please comment or provide details below to improve the information on SCRUGGS DENTAL LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.