Carole Suzanne Windham in Shreveport - Dentist

Carole Suzanne Windham - NPI 1730372590

Carole Suzanne Windham is a Dentist in Shreveport, Louisiana. Carole Suzanne Windham practices all healthcare services and medical treatments related to Dentist. The NPI Number for Carole Suzanne Windham is 1730372590. The last update date is 2007-08-23.

Carole Suzanne Windham's current location address is 6140 Line Ave, Shreveport, Louisiana. You can contact this provider via phone number 3188654620 and fax number 3188654622. The mailing address for Carole Suzanne Windham is 6140 Line Ave, Shreveport, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Carole Suzanne Windham
Address 6140 Line Ave, Shreveport, Louisiana
Phone Number 3188654620
Fax Number 3188654622
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1730372590
Provider Enumeration Date 2007-08-23
Last Updated Date 2007-08-23

Provider Mailing Address Detail

Address 6140 Line Ave
City Shreveport
State Louisiana (LA)
Post Code 711062051
Phone Number 3188654620
Fax Number 3188654622

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 4522
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: denti

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FAQs about Carole Suzanne Windham

What is the unique 10-digit identification code issued to Carole Suzanne Windham by the Centers for Medicare & Medicaid Services?

The Carole Suzanne Windham has been assigned the NPI (National Provider Identifier) 1730372590 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Carole Suzanne Windham?

The Carole Suzanne Windham is situated at 6140 Line Ave, in the city of Shreveport, state of LA, with the zip code 711062051.

What is Carole Suzanne Windham's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Carole Suzanne Windham's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1730372590 to Carole Suzanne Windham?

The Centers for Medicare & Medicaid Services assigned the 1730372590 to Carole Suzanne Windham on 2007-08-23.

When was the information related to Carole Suzanne Windham most recently updated or refreshed?

The details pertaining to the Carole Suzanne Windham, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-08-23.

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