DR. MICHAEL ANGELO GRECO D.D.S. NPI 1588795041

NPI Information

  • NPI: 1588795041
  • Provider Name: DR. MICHAEL ANGELO GRECO, D.D.S.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 111 FREESTATE BLVD
    SUITE 108
    SHREVEPORT, LA
    ZIP 71107
  • Phone: (318) 221-8002

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NPI Details

DR. Michael Angelo Greco, D.D.S. is a general practice dentist in Shreveport, LA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Michael Angelo Greco, D.D.S. NPI is 1588795041. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

111 FREESTATE BLVD
SUITE 108
SHREVEPORT, LA
ZIP 71107-540
Phone: (318) 221-8002
Fax: (318) 221-4447

The enumeration date for this NPI number is 3/8/2007 and was last updated on 7/8/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice3687LOUISIANAYes

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: 11/21/2025

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