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Dr. Joe William Gilmore, DDS
Pediatric Dentist in Ruston, Louisiana
NPI 1124133954

Joe William Gilmore is a Pediatric Dentist based in Ruston, LA and is specialized in Pediatric Dentistry. Joe William Gilmore practices in Ruston, LA and has the professional credentials of DDS. The NPI Number for Joe William Gilmore is 1124133954 and holds a License No. 2534 (Louisiana).

The current practice location address for Joe William Gilmore is 206 East Vaughn Ave, Ruston, LA and can be reached out via phone at 318-255-7760 and via fax at 318-255-7696.

Location: 206 East Vaughn Ave, Ruston, LA, 71270
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124133954
Provider Name
Joe William Gilmore
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
206 East Vaughn Ave, Ruston, LA, 71270
Phone Number
318-255-7760
Fax Number
318-255-7696
Provider Enumeration Date
08/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1825344 05 LA
institution
Provider Business Practice Location Address Details
Address
206 East Vaughn Ave
City
Ruston
State
Louisiana
Zip
71270
Phone Number
318-255-7760
Fax Number
318-255-7696
person
Provider Business Mailing Address Details
Address
206 East Vaughn Ave
City
Ruston
State
Louisiana
Zip
71270
Phone Number
318-255-7760
Fax Number
318-255-7696
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
2534 (Louisiana)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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