Ninta Southichack is a Shreveport, Louisiana based Dentist who is specialized in Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Ninta Southichack is 7641 for Dentistry in Louisiana. Her current practice location is 230 Carroll St Ste 3, Shreveport. Patients can reach her at 318-693-0091.
Ninta Southichack is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Ninta Southichack 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:
Ninta Southichack
Specialization:
Dentist
Gender:
Female
Accepts Medicare Assignment:
No
Practice Address:
230 Carroll St Ste 3, Shreveport, Louisiana, 71105-4248
Phone:
318-693-0091
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:
1629777636
NPI Enumeration Date:
28 Feb, 2023
NPI Last Update On:
24 Feb, 2025
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ninta Southichack are as mentioned below.
License Number
Specialization
State
Status
7641
Dentistry
Louisiana
Primary
40137
Dentistry
Texas
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1400 Toplea Dr, Euless, Texas
Zip:
76040-4976
Phone Number:
682-203-8530
Patients can reach Ninta Southichack at 230 Carroll St Ste 3, Shreveport, Louisiana or can call to book an appointment on 318-693-0091. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.