DRS MICHAEL GAMBILL AND COREY CLOUD LLC NPI 1750159737

NPI Information

  • NPI: 1750159737
  • Provider Name: DRS MICHAEL GAMBILL AND COREY CLOUD LLC
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Doing Business As: PEDIATRIC DENTISTRY OF RUSTON
  • Address: 4325 AIRLINE DR
    BOSSIER CITY, LA
    ZIP 71111
  • Phone: (318) 742-9333

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NPI Details

DRS MICHAEL GAMBILL AND COREY CLOUD LLC is a pediatric dentistry dentist in Bossier City, LA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DRS MICHAEL GAMBILL AND COREY CLOUD LLC NPI is 1750159737. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pediatric Dentistry Of Ruston.

The provider's business location address is:

4325 AIRLINE DR
BOSSIER CITY, LA
ZIP 71111-465
Phone: (318) 742-9333

The provider's authorized official is Kristal Patterson .
The authorized official title is Office Manager and has the following contact phone number (318) 742-9333.

The enumeration date for this NPI number is 12/19/2023 and was last updated on 7/22/2024.

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
11223P0221XDentistPediatric DentistryYes

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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