Ivy Dental

LBN: Ivy Dental
Ivy Dental is an health care organization with primary practice located at 460 Ashley Ridge Blvd Ste 600 , Shreveport LA 71106-7238. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Ivy Dental can be contacted via phone (318) 868-4188, or through Porter-Williams, Andretta Rrenee via phone (318) 868-4188.

Contact Information

Primary practice address
460 Ashley Ridge Blvd Ste 600 Shreveport LA 71106-7238
Phone: (318) 868-4188
Fax: (318) 868-9151
Website:
Map and Directions
Authorized official contact:
Name: Porter-Williams, Andretta Rrenee Doctor of Dental Surgery (DDS)
Phone: (318) 868-4188

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4645 Louisiana

Profile Details

NPI number 1063792752
LBN Legal business name Ivy Dental
DBA Doing business as
Authorized official Porter-Williams, Andretta Rrenee Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2011
Last updated Aug 25th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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