person
Dr. Shannon M. Backofen, DDS
Pediatric Dentist in Shreveport, Louisiana
NPI 1306075718

Shannon M. Backofen is a Pediatric Dentist based in Shreveport, LA and is specialized in Pediatric Dentistry. Shannon M. Backofen practices in Shreveport, LA and has the professional credentials of DDS. The NPI Number for Shannon M. Backofen is 1306075718 and holds a License No. 4600 (Louisiana).

The current practice location address for Shannon M. Backofen is 318 Carroll St, Shreveport, LA and can be reached out via phone at 318-865-2250 and via fax at 318-865-3751.

Location: 318 Carroll St, Shreveport, LA, 71105-4132
person
Provider Profile Details
NPI Number
1306075718
Provider Name
Shannon M. Backofen
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
318 Carroll St, Shreveport, LA, 71105-4132
Phone Number
318-865-2250
Fax Number
318-865-3751
Provider Enumeration Date
07/07/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
318 Carroll St
City
State
Zip
71105-4132
Phone Number
318-865-2250
Fax Number
318-865-3751
person
Provider Business Mailing Address Details
Address
318 Carroll St
City
State
Zip
71105-4132
Phone Number
318-865-2250
Fax Number
318-865-3751
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
4600 (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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