PEDIATRIC DENTISTRY OF SHREVEPORT-BOSSIER
NPI 1851779623
Dentist - Pediatric Dentistry in Bossier City, LA

Q: What is Dr. Michael Gambill And Dr. David Glass LLC's specialty?

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

Active since May 13, 2015

2285 BENTON RD, SUITE C-100, BOSSIER CITY, LA 71111(318) 742-9333(318) 742-1512 Get Directions Write a Review

NPPES record last updated: May 13, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Pediatric Dentistry Of Shreveport-bossier NPPES

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

PEDIATRIC DENTISTRY OF SHREVEPORT-BOSSIER (NPI 1851779623) is a healthcare organization registered as a pediatric dentistry in Bossier City, Louisiana and active in the NPI registry since May 2015. The organization lists Carol A Lloyd, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1851779623

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameDR. MICHAEL GAMBILL AND DR. DAVID GLASS LLC

Location Address2285 BENTON RD, SUITE C-100Bossier City, LA 71111-7933

Mailing Address2285 Benton Rd, Suite C-100Bossier City, LA 71111-7933 · (318) 742-9333 · Fax (318) 742-1512

Phone(318) 742-9333

Fax(318) 742-1512

Organization SubpartNo

Authorized OfficialCarol A LloydOffice Manager · (318) 742-9333

Enumeration DateMay 13, 2015

✔ NPI 1851779623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Licenses✔ Licensed in LA · 6422✔ Licensed in LA · 2217✔ Licensed in LA · 6485✔ Licensed in LA · 6224✔ Licensed in LA · 6532

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.

2285 BENTON RD, Bossier City, LA 71111

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Other Names 1

Doing Business AsPediatric Dentistry Of Shreveport-bossier

Other Identifiers 3

Medicaid1864226LA

Medicaid1864854LA

Medicaid1822175LA

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, DentaQuest- LA, HMO Louisiana.Insurance ›

Other Providers at the Same Location NPPES 20

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

PEACEFUL MIND HOME CARE SERVICE,LLC

In Home Supportive Care

2285 BENTON RD, SUITE 102
BOSSIER CITY, LA 71111

Bossier Parish (318) 773-8903

KIMBERLY AUTRY

Counselor (Mental Health)

2285 BENTON RD, STE D-103
BOSSIER CITY, LA 71111

Bossier Parish (318) 584-7197

KESHA IVY

Case Manager/Care Coordinator

2285 BENTON RD, SUITE D-103
BOSSIER CITY, LA 71111

Bossier Parish (318) 584-7197

CAROLINE PEARCE HARPER

Behavior Technician

2285 BENTON RD
BOSSIER CITY, LA 71111

Bossier Parish (318) 741-5909

CRYSTAL LEA CORBIN LPC #3452

Counselor

2285 BENTON RD, SUITE D-201, OFFICE 1
BOSSIER CITY, LA 71111

Bossier Parish (318) 747-4070

ERIC J LEBLANC DDS

Dentist (Pediatric Dentistry)

2285 BENTON RD, STE C100
BOSSIER CITY, LA 71111

Bossier Parish (318) 742-9333

MRS. JENNIFER DAWN HELMS M.S., LPC

Counselor (Professional)

2285 BENTON RD, SUITE C-200
BOSSIER CITY, LA 71111

Bossier Parish (318) 741-5909

MONICA WILSON

Case Manager/Care Coordinator

2285 BENTON RD, SUITE D-103
BOSSIER CITY, LA 71111

Bossier Parish (318) 584-7197

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 Dr. Michael Gambill And Dr. David Glass LLC's NPI number?

The NPI number for Dr. Michael Gambill And Dr. David Glass LLC is 1851779623. It was assigned to this organization in the NPPES registry on May 13, 2015. The provider is doing business as Pediatric Dentistry Of Shreveport-Bossier.

Where is Dr. Michael Gambill And Dr. David Glass LLC located?

Dr. Michael Gambill And Dr. David Glass LLC is located at 2285 Benton Rd Suite C-100, Bossier City, LA 71111. The listed phone number is (318) 742-9333.

What is Dr. Michael Gambill And Dr. David Glass LLC's specialty?

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

What insurance does Dr. Michael Gambill And Dr. David Glass LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana, DentaQuest- LA and HMO Louisiana list Dr. Michael Gambill And Dr. David Glass 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 Dr. Michael Gambill And Dr. David Glass LLC was last updated on May 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.