Dr. Sergio Adrian Acevedo Cortes, DMD
Student in an Organized Health Care Education/Training Program in Shreveport, LA. Individual provider (NPI-1).
NPI number1265320824
StatusActive
Last updated in NPPESJun 24, 2025
Details
- NPI
- 1265320824
- Entity type
- Individual (NPI-1)
- Name
- Dr. Sergio Adrian Acevedo Cortes
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 24, 2025
- Certification date
- Jun 24, 2025
- Last updated
- Jun 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1501 Kings HwyShreveport, LA 71103-4228
Phone 318-626-0434
Mailing address
1501 Kings HwyShreveport, LA 71103-4228
Phone 318-626-0434
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