is a Pediatric Dental Clinic in Bossier City, Louisiana. It is located at 2285 Benton Rd, Suite C-100, Bossier City, LA and its contact number is 318-742-9333. The authorized person for is Carol A Lloyd
who is Office Manager of the clinic and their contact number is 318-742-9333. The primary license number for is 6422 (Pediatric Dentistry) in Louisiana. Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
Pediatric Dentistry
Clinic Address:
2285 Benton Rd, Suite C-100, Bossier City, Louisiana, 71111-7933
Phone:
318-742-9333
Fax:
318-742-1512
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Carol A Lloyd
Position:
Office Manager
Contact Number:
318-742-9333
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for clinic are as mentioned below.
NPI Number:
1851779623
NPI Enumeration Date:
13 May, 2015
NPI Last Update On:
13 May, 2015
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
6422
Louisiana
Primary
Pediatric Dentistry
2217
Louisiana
Secondary
Pediatric Dentistry
6485
Louisiana
Secondary
Pediatric Dentistry
6224
Louisiana
Secondary
Pediatric Dentistry
6532
Louisiana
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1822175
Medicaid
Louisiana
1864226
Medicaid
Louisiana
1864854
Medicaid
Louisiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2285 Benton Rd, Suite C-100 Bossier City, Louisiana
Zip:
71111-7933
Phone Number:
318-742-9333
Fax Number:
318-742-1512
Patients can reach at 2285 Benton Rd, Suite C-100, Bossier City, Louisiana or can call to book an appointment on 318-742-9333. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.