DR. JOHN E STAFFORD (NPI# 1992871040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992871040 |
| Entity Type | Individual |
| Full Name | DR. JOHN E STAFFORD |
| Credential | DDS |
| Practice Address |
9220 Ellerbe Rd Suite 100 Shreveport LA 71106 |
| Practice Telephone | 3188680830 |
| Practice Fax Number | 3188687260 |
| Mailing Telephone | 3188680830 |
| Mailing Fax Number | 3188687260 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 3233 | LA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346469616 | John Sullivan Stafford | General Practice | 4226 Warpath Ave, Santa Fe, TX 77510-8615 | 2007-04-25 |
| 1881741767 | John Michael Stafford | Internal Medicine | 7435 Mrb Iv, Vanderbilt University Medical Center, Nashville, TN 37232-0001 | 2007-01-04 |
| 1730182247 | John M. Stafford | Family Medicine | 3800 Hollywood Rd Ste 101, Royalton Medical Center, Saint Joseph, MI 49085-8511 | 2005-05-30 |
| 1942852785 | John Martin Stafford | Anesthesiologist Assistant | 615 S New Ballas Rd Dept Of, Saint Louis, MO 63141-8221 | 2019-07-11 |
| 1932562402 | John Alan Stafford | Otolaryngology | 222 Piedmont Ave Ste 5200, Cincinnati, OH 45219-4222 | 2016-04-01 |
| 1043694714 | John Stafford | Social Worker | 504 5th St, Ferrysburg, MI 49409-5119 | 2015-07-13 |
| 1801078365 | John A Stafford | Chiropractor | 1750 E 87th St, Chicago, IL 60617 | 2007-11-27 |
| 1760512586 | John D Stafford | Nurse Practitioner | 449 Main St, Oneonta, NY 13820-2028 | 2007-03-07 |
| 1831292358 | John Wiley Stafford | General Practice | 207 Westmark Blvd, Lafayette, LA 70506-7365 | 2006-09-07 |
| 1730281403 | John E Stafford | Psychologist | 350 Salem Road, Ste 1, Conway, AR 72034 | 2006-09-02 |
| Street Address |
9220 ELLERBE RD SUITE 100 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861415093 | Joseph Malcolm Lattier Jr. | Dentist | 9220 Ellerbe Rd, Suite 100, Shreveport, LA 71106-6739 | 2006-07-26 |
| 1053541565 | Jode Jann Burgin | Family Medicine | 9220 Ellerbe Rd, Suite 700, Shreveport, LA 71106-6739 | 2009-07-17 |
| 1265661367 | Richard Andrew Simpson | Dentist | 9220 Ellerbe Rd, Suite 100, Shreveport, LA 71106-6739 | 2009-07-09 |
| 1174734818 | Gretchen G Petterway | Pediatrics | 9220 Ellerbe Rd, Suite 700, Shreveport, LA 71106-6739 | 2007-05-24 |
| 1356411565 | Casey Harris Payne | Family Medicine | 9220 Ellerbe Rd, Ste 700, Shreveport, LA 71105-6709 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972008332 | Andrew Joseph Brouillette | Dentist | 385 Bert Kouns Industrial Loop Ste 700, Shreveport, LA 71106 | 2018-03-28 |
| 1548775885 | David Wayne Spears | Pharmacist | 10460 Norris Ferry Road, Shreveport, LA 71106 | 2017-12-08 |
| 1225559263 | Susan Anderson Roblow | Physical Therapist | 921 Unadilla Street, Shreveport, LA 71106 | 2017-06-29 |
| 1134656382 | James Lowder | Dentist | 8691 Line Ave Ste 300, Shreveport, LA 71106 | 2017-05-18 |
| 1144753708 | Laverne Brantley | Counselor | 328 E 69th St, Shreveport, LA 71106 | 2017-04-10 |
| 1437690849 | Biostat Laboratories, LLC | Clinical Medical Laboratory | 9742 Saint Vincent Ave Ste 200, Shreveport, LA 71106 | 2017-03-17 |
| 1841730728 | Cedric Thomas | Case Manager/Care Coordinator | 6811 Fairfield Avenue, Shreveport, LA 71106 | 2017-02-27 |
| 1225576192 | Nick Vergis | Pharmacist | 5828 Line Avenue, Shreveport, LA 71106 | 2017-02-10 |
| 1184162554 | Marilyn Johnson | Case Manager/Care Coordinator | 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106 | 2017-02-06 |
| 1417499740 | Pamela Lee | Counselor | 8802 Coyth Ln, Shreveport, LA 71106 | 2016-11-17 |
| Find all providers in zip 71106 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194385203 | Carlee Gilley | Dentist | 8691 Line Ave, Shreveport, LA 71106-6148 | 2019-06-20 |
| 1780247197 | Patricia Ann Hostyn | Dentist | 7344 Capistrano Dr, Shreveport, LA 71105-5036 | 2019-04-22 |
| 1326418518 | Deepasulochana Sivasankaraganesan | Dentist | 3719 Jewella Ave, Shreveport, LA 71109 | 2015-09-30 |
| 1891173449 | Miles for Smiles, LLC | Dentist | 610 Texas St, Shreveport, LA 71101-3554 | 2015-05-15 |
| 1902299233 | Brady H. Mosher | Dentist | 7251 Youree Dr, Shreveport, LA 71105 | 2015-03-11 |
| 1952710188 | Clayte Austin Fluke | Dentist | 1105 Island Park Blvd Apt 820, Shreveport, LA 71105-4772 | 2014-08-13 |
| 1467634451 | William L Mccolgan Jr. | Dentist | 9125 Mansfield Road, Shreveport, LA 71118 | 2007-11-30 |
| 1730372590 | Carole Suzanne Windham | Dentist | 6140 Line Ave, Shreveport, LA 71106-2051 | 2007-08-23 |
| 1316158207 | Charles R Mcinnis | Dentist | 8938 Kingston Road, Shreveport, LA 71118 | 2007-05-24 |
| 1346458304 | Lester Ewing | Dentist | 923 Shreveport Barksdale Hwy, Shreveport, LA 71105-2205 | 2007-05-21 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71106 |
Please comment or provide details below to improve the information on DR. JOHN E STAFFORD.
| 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.