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BROADMOOR FAMILY DENTISTRY
NPI 1528359536
Dentist in Shreveport, LA

Active since April 25, 2011
230 CARROLL ST, #4, SHREVEPORT, LA 71105(318) 865-3311(318) 865-3339 Get Directions Write a Review

NPPES record last updated: April 25, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Broadmoor Family Dentistry NPPES

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

BROADMOOR FAMILY DENTISTRY (NPI 1528359536) is a healthcare organization registered as a dentist in Shreveport, Louisiana and active in the NPI registry since April 2011. The organization lists Jennifer Riddell Cooper, Dentist, as its authorized official.

NPPES Registry Identity

NPI1528359536
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameBROADMOOR FAMILY DENTISTRY
Location Address230 CARROLL ST, #4Shreveport, LA 71105-4248
Mailing Address230 Carroll St, #4Shreveport, LA 71105-4248 · (318) 865-3311 · Fax (318) 865-3339
Phone(318) 865-3311
Fax(318) 865-3339
Organization SubpartNo
Authorized OfficialJennifer Riddell CooperDentist · (318) 865-3311
Enumeration DateApril 25, 2011
✔ NPI 1528359536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in LA · 5424✔ Licensed in LA · 5859
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.
230 CARROLL ST, Shreveport, LA 71105
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

TRAVELING LIGHT DENTAL LLC
Dentist (General Practice)
230 CARROLL ST, SUITE 3
SHREVEPORT, LA 71105
Caddo Parish (318) 869-2593
CHRISTOPHER C COSSE D.D.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
230 CARROLL ST, STE 1
SHREVEPORT, LA 71105
Caddo Parish (318) 869-1248
DR. JENNIFER RIDDELL COOPER DDS
Dentist (General Practice)
230 CARROLL ST, SUITE 4
SHREVEPORT, LA 71105
Caddo Parish (318) 865-3311
JOHN BRUCE LOWE DDS
Dentist (Oral and Maxillofacial Pathology)
230 CARROLL ST, SUITE 5
SHREVEPORT, LA 71105
Caddo Parish (318) 868-7127
JEFFREY W SILMON D.D.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
230 CARROLL ST, STE 1
SHREVEPORT, LA 71105
Caddo Parish (318) 869-1248
SOUTHFIELD FAMILY DENTISTRY, INC.
Dentist (General Practice)
230 CARROLL ST, SUITE 5
SHREVEPORT, LA 71105
Caddo Parish (318) 868-5115
DRS MICHAEL J GAMBILL & COREY J CLOUD LLC
Dentist (General Practice)
230 CARROLL ST
SHREVEPORT, LA 71105
Caddo Parish (318) 742-9333

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 Broadmoor Family Dentistry's NPI number?

The NPI number for Broadmoor Family Dentistry is 1528359536. It was assigned to this organization in the NPPES registry on April 25, 2011.

Where is Broadmoor Family Dentistry located?

Broadmoor Family Dentistry is located at 230 Carroll St #4, Shreveport, LA 71105. The listed phone number is (318) 865-3311.

What is Broadmoor Family Dentistry'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 Broadmoor Family Dentistry was last updated on April 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.