OrganizationActive
Fern Avenue Dentistry, LLC
NPI 1447469069 · General Practice Dentistry · Shreveport, LA
Fern Avenue Dentistry, LLC is a General Practice Dentistry organization in Shreveport, LA (NPI 1447469069).
Provider details
- NPI number
- 1447469069
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Brian Broadwell, Dentist, Owner(318) 798-3376
- License
- 5313 (LA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
8535 Fern Ave # 2
Shreveport, LA 71105-5656
Phone: (318) 798-3376
Fax: (318) 798-3310
Street-level locationGet directions
Mailing address
8535 Fern Ave # 2
Shreveport, LA 71105-5656
Registry dates
- Enumerated
- 2007-05-21
- Last updated
- 2020-08-22
Frequently asked questions
- What is Fern Avenue Dentistry, LLC's NPI number?
- Fern Avenue Dentistry, LLC's National Provider Identifier (NPI) is 1447469069, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fern Avenue Dentistry, LLC?
- Fern Avenue Dentistry, LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Fern Avenue Dentistry, LLC located?
- Fern Avenue Dentistry, LLC's practice location on file with NPPES is 8535 Fern Ave # 2, Shreveport, LA 71105-5656.
- What is Fern Avenue Dentistry, LLC's phone number?
- The practice phone number listed in the NPPES registry for Fern Avenue Dentistry, LLC is (318) 798-3376.
- Who is the authorized official for Fern Avenue Dentistry, LLC?
- The authorized official listed on Fern Avenue Dentistry, LLC's NPPES record is Brian Broadwell, Dentist, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fern Avenue Dentistry, LLC's NPI active?
- Yes — Fern Avenue Dentistry, LLC's NPI (1447469069) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.