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UAB HOSPITAL
NPI 1679026264
Dentist in Shreveport, LA

Active since July 29, 2016
3719 JEWELLA AVE, SHREVEPORT, LA 71109(318) 759-0905 Get Directions Write a Review

NPPES record last updated: July 29, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Uab Hospital NPPES

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

UAB HOSPITAL (NPI 1679026264) is a healthcare organization registered as a dentist in Shreveport, Louisiana and active in the NPI registry since July 2016. The organization lists Jessie Dixon, General Dentist, as its authorized official.

NPPES Registry Identity

NPI1679026264
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameKOOL SMILES
Location Address3719 JEWELLA AVEShreveport, LA 71109-4703
Mailing Address3719 Jewella Ave,Shreveport, LA 71109 · (318) 573-9918
Phone(318) 759-0905
Organization SubpartNo
Authorized OfficialJessie DixonGeneral Dentist · (678) 285-4807
Enumeration DateJuly 29, 2016
✔ NPI 1679026264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in LA · 6698
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.
3719 JEWELLA AVE, Shreveport, LA 71109
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Other Names 1

Other NameUab Hospital

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 SINGLE SPECIALTY GROUP

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.

JOONHO PHIYO
Dentist (General Practice)
3719 JEWELLA AVE
SHREVEPORT, LA 71109
Caddo Parish (318) 758-9123
DR. DEEPASULOCHANA SIVASANKARAGANESAN D.M.D
Dentist (General Practice)
3719 JEWELLA AVE
SHREVEPORT, LA 71109
Caddo Parish (318) 550-3362

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 Kool Smiles's NPI number?

The NPI number for Kool Smiles is 1679026264. It was assigned to this organization in the NPPES registry on July 29, 2016. The provider is also known as Uab Hospital.

Where is Kool Smiles located?

Kool Smiles is located at 3719 Jewella Ave, Shreveport, LA 71109. The listed phone number is (318) 759-0905.

What is Kool Smiles'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 Kool Smiles was last updated on July 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.