ROSS H DIES DDS AND J CODY COWEN DDS A DENTAL LLC (NPI# 1447360524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447360524 |
| Entity Type | Organization |
| Organization Name | ROSS H DIES DDS AND J CODY COWEN DDS A DENTAL LLC |
| Other Organization Name | SHREVEPORT FAMILY DENTAL CARE |
| Practice Address |
910 Bert Kouns Industrial Loop Shreveport LA 71118 |
| Practice Telephone | 3186867470 |
| Practice Fax Number | 3186864505 |
| Mailing Telephone | 3186867470 |
| Mailing Fax Number | 3186864505 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ROSS HENRY DIES (GENERAL DENTIST) |
| Authorized Official Telephone | 3186867470 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Shreveport Family Dental Care | Doing Business As Name - Organization |
| Street Address |
910 BERT KOUNS INDUSTRIAL LOOP |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649813759 | Irina Simrell | Dentist | 910 Bert Kouns Industrial Loop, Shreveport, LA 71118-3410 | 2019-10-21 |
| 1568925113 | Ashley Habetz Horton | Dentist | 910 Bert Kouns Industrial Loop, Shreveport, LA 71118-3410 | 2019-04-10 |
| 1598117046 | Meredith Patton | Dentist | 910 Bert Kouns Industrial Loop, Shreveport, LA 71118-3410 | 2016-07-08 |
| 1255782108 | David Wischoff | Dentist | 910 Bert Kouns Industrial Loop, Shreveport, LA 71118-3410 | 2016-06-22 |
| 1063861086 | Timothy Nathaniel Tate | Dentist | 910 Bert Kouns Industrial Loop, Shreveport, LA 71118-3410 | 2016-06-09 |
| 1033529037 | Anna Leighton Hastings | Dentist | 910 Bert Kouns Industrial Loop, Shreveport, LA 71118-3410 | 2014-04-30 |
| 1396167102 | Michael Christopher Haydel | Dentist | 910 Bert Kouns Industrial Loop, Shreveport, LA 71118-3410 | 2014-01-13 |
| 1174717805 | Benjamin Ames Beach | Dentist | 910 Bert Kouns Industrial Loop, Shreveport, LA 71118-3410 | 2007-09-06 |
| 1033300348 | Katie Melancon Beach | Dentist | 910 Bert Kouns Industrial Loop, Shreveport, LA 71118 | 2007-08-05 |
| 1760682306 | Emile Thomas Geneux II | Dentist | 910 Bert Kouns Industrial Loop, Shreveport, LA 71118-3410 | 2007-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720620784 | Wk Center for Pediatric Gastroenterology | Pediatrics | Wk Center for Pediatric Gastroenterology, 2530 Bert Kouns Industrial Loop, Ste 113, Shreveport, LA 71118 | 2019-10-11 |
| 1306302443 | Diamond Marie Willis | Case Manager/Care Coordinator | 9403 Mansfield Rd., Shreveport, LA 71118 | 2019-02-13 |
| 1194224469 | Latosa Hall | Case Manager/Care Coordinator | 9007 Letha Loop, Shreveport, LA 71118 | 2018-02-01 |
| 1902321623 | Bersheika Lashay Player | Counselor | 9403 Mansfield Road, Shreveport, LA 71118 | 2017-08-03 |
| 1518487149 | Clarke Jackson | Case Manager/Care Coordinator | 9730 Baird Rd Apt 2310, Shreveport, LA 71118 | 2017-06-24 |
| 1770010449 | Darrie'l Smith | Counselor | 2715 Mackey, Shreveport, LA 71118 | 2017-05-12 |
| 1760917041 | Delilah Wells | Case Manager/Care Coordinator | 9005 Walker Rd Apt 722, Shreveport, LA 71118 | 2017-04-25 |
| 1790229664 | We Care Transporttion Services LLC | Secured Medical Transport (VAN) | 2529 Summer Grove Dr, Shreveport, LA 71118 | 2016-12-13 |
| 1063955128 | Commanisha Smith | Social Worker | 2715 Mackey Place, Shreveport, LA 71118 | 2016-11-22 |
| 1023560802 | Yasmin Newman | Counselor | 9812 West Trails End, Shreveport, LA 71118 | 2016-10-27 |
| Find all providers in zip 71118 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104432970 | Genetics Collection LLC | Clinic/Center | 214 W 70th St Ste 205, Shreveport, LA 71106-3756 | 2020-09-17 |
| 1992219836 | Gallego Health | Clinic/Center | 115 Hallette Dr, Shreveport, LA 71115-2959 | 2017-11-30 |
| 1265772586 | Walter Asseff | Clinic/Center | 2014 Beth Ln, Shreveport, LA 71118-2708 | 2013-02-23 |
| 1861671869 | Mid-city Family Clinic, LLC | Clinic/Center | 838 Margaret Pl, Shreveport, LA 71101-4509 | 2007-10-26 |
| 1679594782 | Premier Care and Learning Center, Inc | Clinic/Center | 2110 Hollywood Ave, Shreveport, LA 71108-3922 | 2006-07-22 |
| 1932181054 | The Arthritis & Rheumatology Clinic, A Medical Corporation | Clinic/Center | 740 Jordan St, Shreveport, LA 71101-4616 | 2005-11-15 |
| 1285635540 | Louisiana State University Health Sciences Center Viral Disease Clini | Clinic/Center | 6670 Saint Vincent Ave, Shreveport, LA 71106-2638 | 2005-08-09 |
| 1871083162 | The Healing Clinic, LLC | Clinic/Center | 745 Olive St Ste 109, Shreveport, LA 71104-2250 | 2018-05-14 |
| 1427490937 | Bombinamd LLC | Clinic/Center | 4140 Hollywood Ave, Suite B-2, Shreveport, LA 71109-7818 | 2013-07-25 |
| 1073950028 | Diabetes Assessment and Management Center of Shreveport, LLC | Clinic/Center | 1560 Irving Pl, Suite 501, Shreveport, LA 71101-4604 | 2013-05-31 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71118 |
Please comment or provide details below to improve the information on ROSS H DIES DDS AND J CODY COWEN DDS A 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.