Gregory Dewayne Burns in Shreveport - General Practice

Gregory Dewayne Burns - NPI 1902012602

Gregory Dewayne Burns is a General Practice in Shreveport, Louisiana. Gregory Dewayne Burns practices all healthcare services and medical treatments related to General Practice. The NPI Number for Gregory Dewayne Burns is 1902012602. The last update date is 2011-02-28.

Gregory Dewayne Burns's current location address is 2010 E. 70th St., Shreveport, Louisiana. You can contact this provider via phone number 3187983000 and fax number 3187983044. The mailing address for Gregory Dewayne Burns is 2010 E. 70th St., Shreveport, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Gregory Dewayne Burns
Address 2010 E. 70th St., Shreveport, Louisiana
Phone Number 3187983000
Fax Number 3187983044
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1902012602
Provider Enumeration Date 2007-05-16
Last Updated Date 2011-02-28

Provider Mailing Address Detail

Address 2010 E. 70th St.
City Shreveport
State Louisiana (LA)
Post Code 71105
Phone Number 3187983000
Fax Number 3187983044

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 5787
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1857874 LA --

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FAQs about Gregory Dewayne Burns

What is the unique provider identifier assigned to Gregory Dewayne Burns?

The Gregory Dewayne Burns has been issued the NPI (National Provider Identifier) 1902012602 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Gregory Dewayne Burns is located?

The Gregory Dewayne Burns is situated at the following address: 2010 E. 70Th St., Shreveport, LA, 71105.

What is the Gregory Dewayne Burns's area of specialization and corresponding taxonomy classification?

The Gregory Dewayne Burns's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.

When was the Gregory Dewayne Burns's 1902012602 issued?

The Gregory Dewayne Burns's 1902012602 was issued on 2007-05-16.

When was the information pertaining to Gregory Dewayne Burns most recently updated or revised?

The details related to Gregory Dewayne Burns, including its address, specialty, and other relevant information, were last updated or revised on 2011-02-28.

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