Dr. William Wiley Baldridge Jr., DDS
Dentist, General Practice in Shreveport, LA. Individual provider (NPI-1).
NPI number1336249697
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1336249697
- Entity type
- Individual (NPI-1)
- Name
- Dr. William Wiley Baldridge Jr.
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 25, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 3804 | LA | Yes |
Practice location
7111 University DriveSuite A
Shreveport, LA 71105-5033
Phone 318-797-3755 · Fax 318-798-0133
Mailing address
7111 University DriveSuite A
Shreveport, LA 71105-5033
Phone 318-797-3755 · Fax 318-798-0133
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