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BENJAMIN A. BEACH DDS AND ROSS H. DIES DDS MIDCITY LLC NPI 1528615887


NPI Information

NPI: 1528615887
Provider Name: BENJAMIN A. BEACH DDS AND ROSS H. DIES DDS MIDCITY, LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
8510 LINE AVE STE A
SHREVEPORT, LA
ZIP 71106
Phone: (318) 686-7470
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BENJAMIN A. BEACH DDS AND ROSS H. DIES DDS MIDCITY, LLC is a dental clinic center in Shreveport, LA. BENJAMIN A. BEACH DDS AND ROSS H. DIES DDS MIDCITY, LLC NPI is 1528615887. The provider is registered as an organization entity type.

The provider's business location address is:

8510 LINE AVE STE A
SHREVEPORT, LA
ZIP 71106-119
Phone: (318) 686-7470

The provider's authorized official is Lindsey Cope .
The authorized official title is Practice Manager and has the following contact phone number (318) 213-4686.

The enumeration date for this NPI number is 8/21/2019 and was last updated on 8/21/2019.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD0000XClinic/CenterDentalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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