Billy Melvin Desoto in Shreveport - Orthodontics And Dentofacial Orthopedics
Billy Melvin Desoto - NPI 1124181235
Billy Melvin Desoto is a Orthodontics And Dentofacial Orthopedics in Shreveport, Louisiana. Billy Melvin Desoto practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Billy Melvin Desoto is 1124181235. The last update date is 2007-07-08.
Billy Melvin Desoto's current location address is 2515 Southside Dr, Shreveport, Louisiana. You can contact this provider via phone number 3186866411 and fax number 3186865187. The mailing address for Billy Melvin Desoto is 2515 Southside Dr, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Billy Melvin Desoto |
|---|---|
| Address | 2515 Southside Dr, Shreveport, Louisiana |
| Phone Number | 3186866411 |
| Fax Number | 3186865187 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1124181235 |
|---|---|
| Provider Enumeration Date | 2006-12-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2515 Southside Dr |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711182120 |
| Phone Number | 3186866411 |
| Fax Number | 3186865187 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 2098 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Post Comment/ Review Below
What is the Billy Melvin Desoto's 1124181235?
The Billy Melvin Desoto's NPI (National Provider Identifier) Number is 1124181235. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Billy Melvin Desoto is geographically located?
The Billy Melvin Desoto is physically situated at the following location: 2515 Southside Dr, Shreveport, LA, 711182120.
What is the Billy Melvin Desoto's specialty and taxonomy code?
The Billy Melvin Desoto's specialty is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1124181235 to Billy Melvin Desoto?
The Centers for Medicare & Medicaid Services assigned the 1124181235 to Billy Melvin Desoto on 2006-12-19.
As of what date was the information pertaining to Billy Melvin Desoto, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Billy Melvin Desoto, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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