DRS MICHAEL J GAMBILL & COREY J CLOUD LLC NPI 1962271759

NPI Information

  • NPI: 1962271759
  • Provider Name: DRS MICHAEL J GAMBILL & COREY J CLOUD LLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 230 CARROLL ST
    SHREVEPORT, LA
    ZIP 71105
  • Phone: (318) 742-9333

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NPI Details

DRS MICHAEL J GAMBILL & COREY J CLOUD LLC 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. DRS MICHAEL J GAMBILL & COREY J CLOUD LLC NPI is 1962271759. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

230 CARROLL ST
SHREVEPORT, LA
ZIP 71105-248
Phone: (318) 742-9333

The provider's authorized official is Kristal Good .
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 12/21/2023 and was last updated on 12/21/2023.

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 PracticeYes

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: 3/30/2025

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