OrganizationActive
Ivy Dental
NPI 1063792752 · General Practice Dentistry · Shreveport, LA
Ivy Dental is a General Practice Dentistry organization in Shreveport, LA (NPI 1063792752).
Provider details
- NPI number
- 1063792752
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Andretta Porter-Williams, Owner(318) 868-4188
- License
- 4645 (LA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
460 Ashley Ridge Blvd Ste 600
Shreveport, LA 71106-7238
Phone: (318) 868-4188
Fax: (318) 868-9151
Street-level locationGet directions
Mailing address
460 Ashley Ridge Blvd Ste 600
Shreveport, LA 71106-7238
Registry dates
- Enumerated
- 2011-08-25
- Last updated
- 2011-08-25
Frequently asked questions
- What is Ivy Dental's NPI number?
- Ivy Dental's National Provider Identifier (NPI) is 1063792752, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ivy Dental?
- Ivy Dental is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Ivy Dental located?
- Ivy Dental's practice location on file with NPPES is 460 Ashley Ridge Blvd Ste 600, Shreveport, LA 71106-7238.
- What is Ivy Dental's phone number?
- The practice phone number listed in the NPPES registry for Ivy Dental is (318) 868-4188.
- Who is the authorized official for Ivy Dental?
- The authorized official listed on Ivy Dental's NPPES record is Andretta Porter-Williams, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ivy Dental's NPI active?
- Yes — Ivy Dental's NPI (1063792752) is active in the NPPES registry as of the last update on 2011-08-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.