RIVER CITIES DENTAL SLEEP MEDICINE CORPORATION NPI 1568822237

NPI Information

RIVER CITIES DENTAL SLEEP MEDICINE CORPORATION is a customized equipment durable medical equipment medical supplies in Shreveport, LA. RIVER CITIES DENTAL SLEEP MEDICINE CORPORATION NPI is 1568822237. The provider is registered as an organization entity type.

The provider's business location address is:

1945 E 70TH ST
SUITE F
SHREVEPORT, LA
ZIP 71105-347
Phone: (318) 797-1187
Fax: (318) 797-1164

The provider's authorized official is Jason I Dupree .
The authorized official title is Owner and has the following contact phone number (318) 797-1187.

The CLIA number assigned to this NPI record is 19D2006656 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/24/2016 and was last updated on 4/26/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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