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PEDIATRIC DENTISTRY OF RUSTON
NPI 1750159737
Dentist - Pediatric Dentistry in Bossier City, LA

Active since December 19, 2023
4325 AIRLINE DR, BOSSIER CITY, LA 71111(318) 742-9333 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Dentistry Of Ruston NPPES

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

PEDIATRIC DENTISTRY OF RUSTON (NPI 1750159737) is a healthcare organization registered as a pediatric dentistry in Bossier City, Louisiana and active in the NPI registry since December 2023. The organization maintains 6 additional practice locations and lists Kristal Patterson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1750159737
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameDRS MICHAEL GAMBILL AND COREY CLOUD LLC
Location Address4325 AIRLINE DRBossier City, LA 71111-3465
Mailing Address4325 Airline DrBossier City, LA 71111-3465 · (318) 742-9333
Phone(318) 742-9333
Organization SubpartNo
Authorized OfficialKristal PattersonOffice Manager · (318) 742-9333
Enumeration DateDecember 19, 2023
Last NPPES UpdateJuly 22, 2024
NPPES CertifiedJuly 15, 2024
✔ NPI 1750159737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
4325 AIRLINE DR, Bossier City, LA 71111
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Other Names 5

Doing Business AsPediatric Dentistry Of Ruston
Doing Business AsPediatric Dentistry Of Cenla
Doing Business AsPediatric Dentistry Of Minden
Doing Business AsPediatric Dentistry Of Natchitoches
Doing Business AsPediatric Dentistry Of Shreveport-bossier

Secondary Practice Locations 6

Location 16930 Fern Ave Ste 200Shreveport, LA 71105-4172 · Phone (318) 797-7551
Location 22025 Farmerville HwyRuston, LA 71270-3009 · Phone (318) 254-1287
Location 36930 Fern AveShreveport, LA 71105-4171 · Phone (318) 742-9333
Location 4940 Keyser AveNatchitoches, LA 71457-6337 · Phone (318) 522-8047
Location 5616 MacArthur Dr Unit BAlexandria, LA 71303-3111 · Phone (318) 473-9544
Location 6116 Homer RdMinden, LA 71055-2732 · Phone (318) 742-9333

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES 6

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

DR. NANCY DINH LY DDS
Dentist (Pediatric Dentistry)
4325 AIRLINE DR
BOSSIER CITY, LA 71111
Bossier Parish (318) 742-9333
DR. ALEXANDER JACOB ZIEGLER DDS
Dentist (Pediatric Dentistry)
4325 AIRLINE DR
BOSSIER CITY, LA 71111
Bossier Parish (318) 742-9333
YIE LIN UM
Dentist
4325 AIRLINE DR
BOSSIER CITY, LA 71111
Bossier Parish (318) 742-9333
JU YONG LEE DDS
Dentist (Pediatric Dentistry)
4325 AIRLINE DR
BOSSIER CITY, LA 71111
Bossier Parish (318) 742-9333
CHRISTINE LE DMD
Dentist (Pediatric Dentistry)
4325 AIRLINE DR
BOSSIER CITY, LA 71111
Bossier Parish (318) 742-9333
DR. JORDAN TRUONG DMD
Dentist (Pediatric Dentistry)
4325 AIRLINE DR
BOSSIER CITY, LA 71111
Bossier 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 Drs Michael Gambill And Corey Cloud LLC's NPI number?

The NPI number for Drs Michael Gambill And Corey Cloud LLC is 1750159737. It was assigned to this organization in the NPPES registry on December 19, 2023. The provider is doing business as Pediatric Dentistry Of Ruston, Pediatric Dentistry of Cenla, Pediatric Dentistry of Minden and Pediatric Dentistry of Natchitoches. Additional names are listed in the Other Names section above.

Where is Drs Michael Gambill And Corey Cloud LLC located?

Drs Michael Gambill And Corey Cloud LLC is located at 4325 Airline Dr, Bossier City, LA 71111. The listed phone number is (318) 742-9333.

What is Drs Michael Gambill And Corey Cloud LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Drs Michael Gambill And Corey Cloud LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and DentaQuest- LA and 1 other insurer list Drs Michael Gambill And Corey Cloud 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 Drs Michael Gambill And Corey Cloud LLC was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.