SOUTHFIELD FAMILY DENTISTRY, INC.
NPI 1912092651
Dentist - General Practice in Shreveport, LA

Active since October 04, 2006
230 CARROLL ST, SUITE 5, SHREVEPORT, LA 71105(318) 868-5115(318) 868-5114 Get Directions Write a Review

NPPES record last updated: February 8, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Southfield Family Dentistry, Inc. NPPES

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

SOUTHFIELD FAMILY DENTISTRY, INC. (NPI 1912092651) is a healthcare organization registered as a general practice in Shreveport, Louisiana and active in the NPI registry since October 2006. The organization lists Maureen Sheridan Fenton, Owner, as its authorized official.

NPPES Registry Identity

NPI1912092651
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSOUTHFIELD FAMILY DENTISTRY, INC.
Location Address230 CARROLL ST, SUITE 5Shreveport, LA 71105-4248
Mailing Address230 Carroll St, Suite 5Shreveport, LA 71105-4248 · (318) 868-5115 · Fax (318) 868-5114
Fax(318) 868-5114
Organization SubpartNo
Authorized OfficialMaureen Sheridan FentonOwner · (318) 868-5115
Enumeration DateOctober 4, 2006
Last NPPES UpdateFebruary 8, 2017
✔ NPI 1912092651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in LA · 4009
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
230 CARROLL ST, Shreveport, LA 71105

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

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.

Dentist (General Practice)
230 CARROLL ST, SUITE 3
SHREVEPORT, LA 71105
Dentist (Orthodontics and Dentofacial Orthopedics)
230 CARROLL ST, STE 1
SHREVEPORT, LA 71105
Dentist (General Practice)
230 CARROLL ST, SUITE 4
SHREVEPORT, LA 71105
Dentist
230 CARROLL ST, #4
SHREVEPORT, LA 71105
Dentist (Oral and Maxillofacial Pathology)
230 CARROLL ST, SUITE 5
SHREVEPORT, LA 71105
Dentist (Orthodontics and Dentofacial Orthopedics)
230 CARROLL ST, STE 1
SHREVEPORT, LA 71105
Dentist (General Practice)
230 CARROLL ST
SHREVEPORT, LA 71105

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 Southfield Family Dentistry, Inc.'s NPI number?

The NPI number for Southfield Family Dentistry, Inc. is 1912092651. It was assigned to this organization in the NPPES registry on October 4, 2006.

Where is Southfield Family Dentistry, Inc. located?

Southfield Family Dentistry, Inc. is located at 230 Carroll St Suite 5, Shreveport, LA 71105. The listed phone number is (318) 868-5115.

What is Southfield Family Dentistry, Inc.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Southfield Family Dentistry, Inc. accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan list Southfield Family Dentistry, Inc. 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 Southfield Family Dentistry, Inc. was last updated on February 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.