Loud, Cedric Vardis
Loud, Cedric Vardis is an individual health care provider with primary practice located at 1501 Kings Hwy Department Of Oral Surgery, Shreveport LA 71103-4228. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Loud, Cedric Vardis can be contacted via phone (318) 675-7737.Contact Information
Primary practice address
1501 Kings Hwy Department Of Oral Surgery
Shreveport LA 71103-4228
Phone: (318) 675-7737
Fax: (318) 675-5666
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 5366 | Louisiana |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 5366 | Louisiana |
Profile Details
| NPI number | 1699793737 |
|---|---|
| LBN Legal business name | Loud, Cedric Vardis |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | May 4th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699793737 | NPPES |
| Louisiana | MEDICAID | 1853666 |
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