SHREVEPORT BOSSIER FAMILY DENTAL CARE
NPI 1972056638
Dentist - Pediatric Dentistry in Bossier City, LA

Active since July 29, 2016
3412 BARKSDALE BLVD, 100, BOSSIER CITY, LA 71112(318) 686-7470(318) 686-4505 Get Directions Write a Review

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

About Shreveport Bossier Family Dental Care NPPES

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

SHREVEPORT BOSSIER FAMILY DENTAL CARE (NPI 1972056638) is a healthcare organization registered as a pediatric dentistry in Bossier City, Louisiana and active in the NPI registry since July 2016. The organization lists Ross Dies, Owner, as its authorized official.

NPPES Registry Identity

NPI1972056638
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameROSS H. DIES, J. CODY COWEN, DDS, BENJAMIN A. BEACH, DDS AND BRYAN STE
Location Address3412 BARKSDALE BLVD, 100Bossier City, LA 71112-3800
Mailing Address3412 Barksdale Blvd, 100Bossier City, LA 71112-3800 · (318) 686-7470 · Fax (318) 686-4505
Fax(318) 686-4505
Organization SubpartNo
Authorized OfficialRoss DiesOwner · (318) 213-4686
Enumeration DateJuly 29, 2016
NPI 1972056638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in LA · 4273
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.
3412 BARKSDALE BLVD, Bossier City, LA 71112

Other Names 1

Doing Business AsShreveport Bossier Family Dental Care

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 Ross H. Dies, J. Cody Cowen, Dds, Benjamin A. Beach, Dds And Bryan Ste's NPI number?

The NPI number for Ross H. Dies, J. Cody Cowen, Dds, Benjamin A. Beach, Dds And Bryan Ste is 1972056638. It was assigned to this organization in the NPPES registry on July 29, 2016. The provider is doing business as Shreveport Bossier Family Dental Care.

Where is Ross H. Dies, J. Cody Cowen, Dds, Benjamin A. Beach, Dds And Bryan Ste located?

Ross H. Dies, J. Cody Cowen, Dds, Benjamin A. Beach, Dds And Bryan Ste is located at 3412 Barksdale Blvd 100, Bossier City, LA 71112. The listed phone number is (318) 686-7470.

What is Ross H. Dies, J. Cody Cowen, Dds, Benjamin A. Beach, Dds And Bryan Ste's specialty?

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

When was this NPI record last updated?

The NPPES record for Ross H. Dies, J. Cody Cowen, Dds, Benjamin A. Beach, Dds And Bryan Ste 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.