Dr. Richard C Vandiver is a Shreveport, Louisiana based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Richard C Vandiver is 4538 for General Practice Dentistry in Louisiana. His current practice location is 1625 David Raines Rd, Shreveport. Patients can reach him at 318-841-6048.
Dr. Richard C Vandiver is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Richard C Vandiver speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Richard C Vandiver
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
1625 David Raines Rd, Shreveport, Louisiana, 71107-5899
Phone:
318-841-6048
Fax:
318-841-6044
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 are as mentioned below.
NPI Number:
1932243094
NPI Enumeration Date:
20 Feb, 2007
NPI Last Update On:
07 Mar, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Richard C Vandiver are as mentioned below.
License Number
Specialization
State
Status
4538
General Practice Dentistry
Louisiana
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Richard C Vandiver such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
20409
Other
Louisiana
CDS #
4538
Other
Louisiana
STATE BOARD LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2125 E Bert Kouns Industrial Loop, Unit #3 Shreveport, Louisiana
Zip:
71105-5314
Phone Number:
318-349-1909
Patients can reach Dr. Richard C Vandiver at 1625 David Raines Rd, Shreveport, Louisiana or can call to book an appointment on 318-841-6048. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.