C.M. LESTER DDS A PROFESSIONAL DENTAL CORP
NPI 1356613681
Clinic/Center - Dental in Shreveport, LA

Active since February 02, 2012
4034 HOLLYWOOD AVE, SHREVEPORT, LA 71109(318) 631-0270(318) 631-0233 Get Directions Write a Review

NPPES record last updated: February 2, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About C.m. Lester Dds A Professional Dental Corp NPPES

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

C.M. LESTER DDS A PROFESSIONAL DENTAL CORP (NPI 1356613681) is a healthcare organization registered as a dental in Shreveport, Louisiana and active in the NPI registry since February 2012. The organization lists Charley Marion Lester, President, as its authorized official.

NPPES Registry Identity

NPI1356613681
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameC.M. LESTER DDS A PROFESSIONAL DENTAL CORP
Location Address4034 HOLLYWOOD AVEShreveport, LA 71109-7938
Mailing Address4034 Hollywood AveShreveport, LA 71109-7938 · (318) 631-0270 · Fax (318) 631-0233
Fax(318) 631-0233
Organization SubpartNo
Authorized OfficialCharley Marion LesterPresident · (318) 631-0270
Enumeration DateFebruary 2, 2012
NPI 1356613681 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 · 1956
4034 HOLLYWOOD AVE, Shreveport, LA 71109

Other Identifiers 1

Medicaid1819565LA

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 C.M. Lester Dds A Professional Dental Corp's NPI number?

The NPI number for C.M. Lester Dds A Professional Dental Corp is 1356613681. It was assigned to this organization in the NPPES registry on February 2, 2012.

Where is C.M. Lester Dds A Professional Dental Corp located?

C.M. Lester Dds A Professional Dental Corp is located at 4034 Hollywood Ave, Shreveport, LA 71109. The listed phone number is (318) 631-0270.

What is C.M. Lester Dds A Professional Dental Corp's specialty?

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

When was this NPI record last updated?

The NPPES record for C.M. Lester Dds A Professional Dental Corp was last updated on February 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.