DR. STEPHANIE PHAN GARRETT (NPI# 1871936633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871936633 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE PHAN GARRETT |
| Other Name | DR. STEPHANIE XUAN-TRANG PHAN |
| Credential | D.D.S. |
| Practice Address |
2859 Caribbean Cv Shreveport LA 71105-2763 |
| Practice Telephone | 9165311952 |
| Mailing Telephone | 9165311952 |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2019-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
60771 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839440 | Stephanie Garrett | Registered Nurse | 23845 Mcbean Pkwy, Valencia, CA 91355-2001 | 2020-07-23 |
| 1558814269 | Stephanie Amber Garrett | Pharmacist | 59 Waterfront Plz, Suite 2, Newport, VT 05855-4877 | 2016-07-28 |
| 1821482811 | Stephanie Jane Garrett | Physician Assistant | 505 S Main St, Porter, OK 74454-1015 | 2015-03-27 |
| 1912248667 | Stephanie C. Garrett | Counselor | 24885 Whitewood Rd, Suite 105, Murrieta, CA 92563-2014 | 2013-03-05 |
| 1699012302 | Stephanie Garrett | Internal Medicine | 1155 Mill St, Reno, NV 89502-1576 | 2013-01-15 |
| 1881840478 | Stephanie Diane Garrett | Pharmacist | 601 E 15th St, Brackenridge Hospital - Department of Pharmacy, Austin, TX 78701-1930 | 2008-08-14 |
| 1295937514 | Stephanie Carol Garrett | Counselor | 1200 Noble St, Anniston, AL 36201-4659 | 2007-05-31 |
| 1851508154 | Stephanie Leann Garrett | Speech-Language Pathologist | 5725 S Ross Ave, Oklahoma City, OK 73119-5650 | 2007-05-17 |
| 1689625535 | Stephanie L. Garrett | Internal Medicine | 1525 Clifton Rd Ne, Atlanta, GA 30322-4200 | 2006-05-15 |
| Street Address |
2859 CARIBBEAN CV |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-2763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1205301868 | Tatjhana Maury | Case Manager/Care Coordinator | 3325 Youree Drive, Shreveport, LA 71105 | 2018-10-10 |
| 1245710920 | Jefferey Douglas Adair Md | Non-Pharmacy Dispensing Site | 8860 Fern Ave., Suite 120, Shreveport, LA 71105 | 2018-08-21 |
| 1679059539 | Michael E Woolbert Dds LLC | Dentist | 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 | 2018-07-13 |
| 1881195675 | Adiba Bibi | Pharmacist | 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 | 2018-02-27 |
| 1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
| 1073028148 | Valerie Wooten Barcelona | Physical Therapist | 130 Kayla Street, Shreveport, LA 71105 | 2017-12-11 |
| 1710497615 | Jimmy Carroll | Counselor | 2960 Knight St, Suite 110, Shreveport, LA 71105 | 2017-10-05 |
| 1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
| 1619496452 | Shaqwana Hodge | Counselor | 2920 Knight St. Suite 110, Shreveport, LA 71105 | 2017-09-13 |
| Find all providers in zip 71105 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073755435 | Pediatric Dental Partners, LLP | Dentist | 318 Carroll St., Shreveport, LA 71105-4132 | 2009-04-01 |
| 1902936289 | Bryan R. Stewart | Dentist | 318 Carroll St, Shreveport, LA 71105-4132 | 2007-03-06 |
| 1558428094 | Cecil Rhodes Lloyd | Dentist | 927 Shreveport Barksdale Hwy, Shreveport, LA 71105-2205 | 2007-01-03 |
| 1770028946 | Cuddle Kids Dental Care of Shreveport, LLC | Dentist | 2433 E 70th St, Suite A, Shreveport, LA 71105-4787 | 2016-12-27 |
| 1346479656 | Susan L. Chidlow | Dentist | 318 Carroll St, Shreveport, LA 71105-4132 | 2009-07-08 |
| 1891924205 | Lauren F. Wallace | Dentist | 318 Carroll St, Shreveport, LA 71105-4132 | 2009-07-07 |
| 1306075718 | Shannon M. Backofen | Dentist | 318 Carroll St, Shreveport, LA 71105-4132 | 2009-07-07 |
| 1790900264 | Daniel A Crawford | Dentist | 318 Carroll St, Shreveport, LA 71105-4132 | 2007-04-17 |
| 1275680852 | Holly C Cook | Dentist | 7600 Fern Ave, Building 800, Shreveport, LA 71105-5659 | 2007-01-04 |
| 1083628093 | Emily Steger Neeley | Dentist | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2006-07-27 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71105 |
Please comment or provide details below to improve the information on DR. STEPHANIE PHAN GARRETT.
| 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.