W. J. DUDLEY DENTURE CONSULTANTS (NPI# 1295380418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295380418 |
| Entity Type | Organization |
| Organization Name | W. J. DUDLEY DENTURE CONSULTANTS |
| Practice Address |
4354 Pines Rd Shreveport LA 71119-7738 |
| Practice Telephone | 3186351970 |
| Practice Fax Number | 3186351972 |
| Mailing Telephone | 3186351970 |
| Mailing Fax Number | 3186351972 |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2019-08-05 |
| Authorized Official Name | MRS. ERINN PUMPHREY DUDLEY (BOOKKEPER) |
| Authorized Official Telephone | 3184220397 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| professional denture clinic | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 580 Us Hwy 59, Garrison, TX 75946 | 8002351732 |
| Street Address |
4354 PINES RD |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71119-7738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912549825 | Andrea Lekesha Brown | Case Manager/Care Coordinator | 3518 Milky Way, Shreveport, LA 71119 | 2019-10-11 |
| 1003380213 | Eiyana Middleton | Case Manager/Care Coordinator | 5720 S Lakeshore Dr Apt 1711, Shreveport, LA 71119 | 2019-01-22 |
| 1508341264 | Cassandra Marshall | Case Manager/Care Coordinator | 5905 Candlewood, Shreveport, LA 71119 | 2018-09-28 |
| 1184125734 | Shunda Huff | Case Manager/Care Coordinator | 5636 S Lakeshore Dr Apt 632, Shreveport, LA 71119 | 2018-02-27 |
| 1093239162 | Nicole Devona Wahsington | Counselor | 2811 Metal Street, Shreveport, LA 71119 | 2017-07-31 |
| 1396266318 | Cynthia M Thomas | Driver | 6407 Santa Monica Blvd., Shreveport, LA 71119 | 2017-06-29 |
| 1154861771 | Allan Thomas | Case Manager/Care Coordinator | 3205 Linda St, Shreveport, LA 71119 | 2017-03-01 |
| 1366984312 | Demetria Carter | Counselor | 4164 Mcmichael Ave, Shreveport, LA 71119 | 2016-11-08 |
| 1033667712 | Mary Craig | Case Manager/Care Coordinator | 6215 Border Ln, Shreveport, LA 71119 | 2016-09-12 |
| 1538615067 | Jesse Fallis | Counselor | New Day Recovery/ Shreveport, 6240 Greenwood Rd, Shreveport, LA 71119 | 2016-08-25 |
| Find all providers in zip 71119 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528615887 | Benjamin A. Beach Dds and Ross H. Dies Dds Midcity, LLC | Clinic/Center | 8510 Line Ave Ste A, Shreveport, LA 71106-6119 | 2019-08-21 |
| 1356613681 | C.m. Lester Dds A Professional Dental Corp | Clinic/Center | 4034 Hollywood Ave, Shreveport, LA 71109-7938 | 2012-02-02 |
| 1093035081 | Crawford-jarvis Family Dental LLC | Clinic/Center | 2010 E 70th St, Shreveport, LA 71105-5306 | 2010-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760082952 | Jimani Blackwell Dds LLC | Clinic/Center | 8015 Maple St, New Orleans, LA 70118-2738 | 2020-10-28 |
| 1578185096 | Dr. Raymond Poirrier Dds LLC | Clinic/Center | 1968 N Highway 190 Ste 11a, Covington, LA 70433-5158 | 2020-05-07 |
| 1851912711 | Covington Empower Orthodontics LLC - Dr Timothy M Poyadou Jr | Clinic/Center | 100 Tyler Sq Ste 4, Covington, LA 70433-3060 | 2020-05-01 |
| 1699314799 | Peach Tree Dental West Monroe, LLC | Clinic/Center | 3422 Cypress St, West Monroe, LA 71291-7310 | 2020-01-06 |
| 1538706015 | Exceptional Dental of Uptown, LLC | Clinic/Center | 5300 Tchoupitoulas St Ste F4, New Orleans, LA 70115-1963 | 2019-12-04 |
| 1447897186 | Affordable Smiles of Hammond, LLC | Clinic/Center | 2804 W Thomas St, Hammond, LA 70401-2841 | 2019-12-02 |
| 1689226946 | Silver Lining Dentistry & Co. | Clinic/Center | 2305 West Esplanade Suit U, Kenner, LA 70065 | 2019-07-16 |
| 1790337632 | West Baton Rouge Dental Associates, LLC | Clinic/Center | 6572 Hwy 1 South, Addis, LA 70710 | 2019-07-11 |
| 1124670252 | Lam Dentistry | Clinic/Center | 37341 Perkins Road, Prairieville, LA 70769 | 2019-07-09 |
| 1669934352 | Christen Massey, Dds, LLC | Clinic/Center | 701 Metairie Rd Ste 1b206, Metairie, LA 70005-4056 | 2019-04-02 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71119 |
Please comment or provide details below to improve the information on W. J. DUDLEY DENTURE CONSULTANTS.
| 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.