RED RIVER DENTAL LLC
NPI 1154661064
Clinic/Center - Dental in Alexandria, LA

Active since March 01, 2013
1408 PETERMAN DR, ALEXANDRIA, LA 71301(318) 427-9220 Get Directions Write a Review

NPPES record last updated: March 1, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Red River Dental Llc NPPES

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

RED RIVER DENTAL LLC (NPI 1154661064) is a healthcare organization registered as a dental in Alexandria, Louisiana and active in the NPI registry since March 2013. The organization lists William Alan Puckett, Member/manager, as its authorized official.

NPPES Registry Identity

NPI1154661064
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameRED RIVER DENTAL LLC
Location Address1408 PETERMAN DRAlexandria, LA 71301-3432
Mailing Address1408 Peterman DrAlexandria, LA 71301-3432 · (318) 427-9220
Organization SubpartNo
Authorized OfficialWilliam Alan PuckettMember/manager · (318) 427-9220
Enumeration DateMarch 1, 2013
NPI 1154661064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in LA · 5978
1408 PETERMAN DR, Alexandria, LA 71301

Other Identifiers 1

Medicaid1859788LA

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Chiropractor
1408 PETERMAN DR
ALEXANDRIA, LA 71301
Dentist (General Practice)
1408 PETERMAN DR
ALEXANDRIA, LA 71301

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 Red River Dental LLC's NPI number?

The NPI number for Red River Dental LLC is 1154661064. It was assigned to this organization in the NPPES registry on March 1, 2013.

Where is Red River Dental LLC located?

Red River Dental LLC is located at 1408 Peterman Dr, Alexandria, LA 71301. The listed phone number is (318) 427-9220.

What is Red River Dental LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Red River Dental LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and UnitedHealthcare list Red River Dental LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Red River Dental LLC was last updated on March 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.