Adam P Cormier DDS Apdc
Dentist, General Practice in Shreveport, LA. Organization (NPI-2).
NPI number1164538351
StatusActive
Last updated in NPPESJan 30, 2012
Details
- NPI
- 1164538351
- Entity type
- Organization (NPI-2)
- Legal business name
- Adam P Cormier DDS Apdc
- Organization subpart
- No
- Enumeration date
- Aug 22, 2006
- Last updated
- Jan 30, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 5323 | LA | Yes |
Practice location
5839 E Kings HwyShreveport, LA 71105
Phone 318-868-4072 · Fax 318-868-2019
Mailing address
5839 E Kings HwyShreveport, LA 71105
Phone 318-868-4072 · Fax 318-868-2019
Authorized official
Adam P Cormier
Owner
3188684072
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