KELLY BRASWELL DDS LLC
NPI 1700091600
Dentist in Shreveport, LA

Q: What is Kelly Braswell Dds LLC's NPI number?

The NPI number for Kelly Braswell Dds LLC is 1700091600. It was assigned to this organization in the NPPES registry on May 14, 2007. The provider was formerly known as Kelly Braswell Dds.

Q: What is Kelly Braswell Dds LLC's specialty?

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

Active since May 14, 2007

3718 JEWELLA, SHREVEPORT, LA 71109(318) 636-6923 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kelly Braswell Dds Llc NPPES

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

KELLY BRASWELL DDS LLC (NPI 1700091600), doing business as Kelly Braswell Dds, is a healthcare organization registered as a dentist in Shreveport, Louisiana and active in the NPI registry since May 2007. The organization lists Kelly W Braswell, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1700091600

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameKELLY BRASWELL DDS LLC

Location Address3718 JEWELLAShreveport, LA 71109-4704

Mailing Address3718 Jewella AveShreveport, LA 71109-4704 · (318) 636-6923

Phone(318) 636-6923

Organization SubpartNo

Authorized OfficialKelly W BraswellOwner Dentist · (318) 636-6923

Enumeration DateMay 14, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1700091600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in LA · LA4050

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.

3718 JEWELLA, Shreveport, LA 71109

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Other Names 1

Former Legal Business NameKelly Braswell Dds

Other Identifiers 1

Medicaid1840505LA

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

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 Kelly Braswell Dds LLC's NPI number?

The NPI number for Kelly Braswell Dds LLC is 1700091600. It was assigned to this organization in the NPPES registry on May 14, 2007. The provider was formerly known as Kelly Braswell Dds.

Where is Kelly Braswell Dds LLC located?

Kelly Braswell Dds LLC is located at 3718 Jewella, Shreveport, LA 71109. The listed phone number is (318) 636-6923.

What is Kelly Braswell Dds LLC'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 Kelly Braswell Dds LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.