| Kelly Braswell Dds Llc | |
|
3718 Jewella Shreveport LA 71109-4704 | |
| (318) 636-6923 | |
| Not Available |
| Full Name | Kelly Braswell Dds Llc |
|---|---|
| Speciality | Dentist |
| Location | 3718 Jewella, Shreveport, Louisiana |
| Authorized Official Name and Position | Kelly W Braswell (OWNER DENTIST) |
| Authorized Official Contact | 3186366923 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Braswell Dds Llc 3718 Jewella Ave Shreveport LA 71109-4704 Ph: (318) 636-6923 | Kelly Braswell Dds Llc 3718 Jewella Shreveport LA 71109-4704 Ph: (318) 636-6923 |
| NPI Number | 1700091600 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700091600 | NPI | - | NPPES |
| 1840505 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | LA4050 (Louisiana) | Primary |
Arklatex Oral & Maxillofacial Surgery A Partnership Of Professional De Dental Clinic Medicare: Medicare Enrolled Practice Location: 7600 Fern Ave, Building 1400, Shreveport, LA 71105 Phone: 318-797-5812 | |
Scruggs Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 E. 70th Street, Suite 105, Shreveport, LA 71005 Phone: 318-798-2008 | |
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 | |
Taylor Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9018 Mansfield Rd, Shreveport, LA 71118 Phone: 800-920-9947 Fax: 678-247-7858 | |
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 | |
Traveling Light Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 Carroll St, Suite 3, Shreveport, LA 71105 Phone: 318-869-2593 Fax: 318-869-2592 |