| Jeffrey Kerst Dds Llc | |
|
8789 Line Ave Shreveport LA 71106-6813 | |
| (318) 865-1600 | |
| Not Available |
| Full Name | Jeffrey Kerst Dds Llc |
|---|---|
| Speciality | Dentist |
| Location | 8789 Line Ave, Shreveport, Louisiana |
| Authorized Official Name and Position | Jeffrey Kerst (PRESIDENT) |
| Authorized Official Contact | 3188651600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Kerst Dds Llc 8789 Line Ave Shreveport LA 71106-6813 Ph: (318) 865-1600 | Jeffrey Kerst Dds Llc 8789 Line Ave Shreveport LA 71106-6813 Ph: (318) 865-1600 |
| NPI Number | 1174285340 |
|---|---|
| Provider Enumeration Date | 10/06/2021 |
| Last Update Date | 10/06/2021 |
| Medicare PECOS PAC ID | 5597163550 |
|---|---|
| Medicare Enrollment ID | O20211006001789 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174285340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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