| Restoration Dental Group Llc | |
|
2010 E 70th St Shreveport LA 71105-5306 | |
| (318) 797-1181 | |
| (318) 797-1180 |
| Full Name | Restoration Dental Group Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2010 E 70th St, Shreveport, Louisiana |
| Authorized Official Name and Position | Raymond A Jarvis (OWNER OF RESTORATION DENTAL GROUP L) |
| Authorized Official Contact | 3187971181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoration Dental Group Llc 7607 Fern Ave. Suite 800 Shreveport LA 71105 Ph: (318) 797-1181 | Restoration Dental Group Llc 2010 E 70th St Shreveport LA 71105-5306 Ph: (318) 797-1181 |
| NPI Number | 1093035081 |
|---|---|
| Provider Enumeration Date | 06/02/2010 |
| Last Update Date | 07/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093035081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 3384 (Louisiana) | Primary |
| 261QD0000X | Clinic/center - Dental | 6042 (Louisiana) | Secondary |
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David J Bellew Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1945 E 70th St, Ste D, Shreveport, LA 71105 Phone: 318-797-4550 Fax: 318-797-4565 | |
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Ivy Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 460 Ashley Ridge Blvd Ste 600, Shreveport, LA 71106 Phone: 318-868-4188 Fax: 318-868-9151 | |
Pediatric Dental Partners, Llp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 318 Carroll St., Shreveport, LA 71105 Phone: 318-865-2250 Fax: 318-865-3751 | |
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