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Dr. Richard C Vandiver, DDS
General Practice Dentistry in Shreveport, Louisiana
NPI 1932243094

Richard C Vandiver is a General Practice Dentistry based in Shreveport, LA and is specialized in General Practice. Richard C Vandiver practices in Shreveport, LA and has the professional credentials of DDS. The NPI Number for Richard C Vandiver is 1932243094 and holds a License No. 4538 (Louisiana).

The current practice location address for Richard C Vandiver is 1625 David Raines Rd, Shreveport, LA and can be reached out via phone at 318-841-6048 and via fax at 318-841-6044. You can also correspond with Richard C Vandiver through the mailing address at 2125 E BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA - 71105-5314 (mailing address contact number: 318-349-1909).

Location: 1625 David Raines Rd, Shreveport, LA, 71105-5314
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Provider Profile Details
NPI Number
1932243094
Provider Name
Richard C Vandiver
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1625 David Raines Rd, Shreveport, LA, 71105-5314
Phone Number
318-841-6048
Fax Number
318-841-6044
Provider Enumeration Date
02/20/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20409 01 LA CDS #
4538 01 LA STATE BOARD LICENSE
institution
Provider Business Practice Location Address Details
Address
1625 David Raines Rd
City
State
Zip
71107-5899
Phone Number
318-841-6048
Fax Number
318-841-6044
person
Provider Business Mailing Address Details
Address
1625 David Raines Rd
City
State
Zip
71107-5899
Phone Number
318-841-6048
Fax Number
318-841-6044
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
4538 (Louisiana)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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