FERN AVENUE DENTAL CENTER
NPI 1114308582
Dentist in Shreveport, LA

Q: What is Fern Avenue Dental Center's NPI number?

The NPI number for Fern Avenue Dental Center is 1114308582. It was assigned to this organization in the NPPES registry on June 11, 2015.

Q: What is Fern Avenue Dental Center's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since June 11, 2015

7600 FERN AVE, BLDG 1100, SHREVEPORT, LA 71105(318) 797-1550 Get Directions Write a Review

NPPES record last updated: June 11, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Fern Avenue Dental Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FERN AVENUE DENTAL CENTER (NPI 1114308582) is a healthcare organization registered as a dentist in Shreveport, Louisiana and active in the NPI registry since June 2015. The organization lists Paul C Heilman, Dentist, as its authorized official.

NPPES Registry Identity

NPI1114308582

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameFERN AVENUE DENTAL CENTER

Location Address7600 FERN AVE, BLDG 1100Shreveport, LA 71105-5659

Mailing Address7600 Fern Ave, Bldg 1100Shreveport, LA 71105-5659 · (318) 797-1550

Phone(318) 797-1550

Organization SubpartNo

Authorized OfficialPaul C HeilmanDentist · (318) 797-1550

Enumeration DateJune 11, 2015

✔ NPI 1114308582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in LA · 3291

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

7600 FERN AVE, Shreveport, LA 71105

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARKLATEX ORAL & MAXILLOFACIAL SURGERY A PARTNERSHIP OF PROFESSIONAL DE

Dentist (Oral and Maxillofacial Surgery)

7600 FERN AVE, BUILDING 1400
SHREVEPORT, LA 71105

Caddo Parish (318) 797-5812

HOLLY C COOK DDS

Dentist (Pediatric Dentistry)

7600 FERN AVE, BUILDING 800
SHREVEPORT, LA 71105

Caddo Parish (318) 524-2024

DR. PAUL COLLINS HEILMAN DDS

Dentist (General Practice)

7600 FERN AVE, BLDG #1100
SHREVEPORT, LA 71105

Caddo Parish (318) 797-1550

JASON HAROLD LUSTIG DDS MD

Dentist (Oral and Maxillofacial Surgery)

7600 FERN AVE, BUILDING 1400
SHREVEPORT, LA 71105

Caddo Parish (318) 797-5812

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fern Avenue Dental Center's NPI number?

The NPI number for Fern Avenue Dental Center is 1114308582. It was assigned to this organization in the NPPES registry on June 11, 2015.

Where is Fern Avenue Dental Center located?

Fern Avenue Dental Center is located at 7600 Fern Ave Bldg 1100, Shreveport, LA 71105. The listed phone number is (318) 797-1550.

What is Fern Avenue Dental Center's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Fern Avenue Dental Center was last updated on June 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.