OrganizationActive
Shreveport Periodontal Specialists
NPI 1720803356 · Periodontics · Shreveport, LA
Shreveport Periodontal Specialists is a Periodontics organization in Shreveport, LA (NPI 1720803356).
Provider details
- NPI number
- 1720803356
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Angela Watson, Coo(318) 868-0535
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
745 Edgemont St
Shreveport, LA 71106-2246
Phone: (318) 868-0535
Fax: (318) 868-0572
Street-level locationGet directions
Mailing address
745 Edgemont St
Shreveport, LA 71106-2246
Registry dates
- Enumerated
- 2024-11-19
- Last updated
- 2024-11-19
- Certified
- 2024-11-19
Frequently asked questions
- What is Shreveport Periodontal Specialists's NPI number?
- Shreveport Periodontal Specialists's National Provider Identifier (NPI) is 1720803356, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shreveport Periodontal Specialists?
- Shreveport Periodontal Specialists is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Shreveport Periodontal Specialists located?
- Shreveport Periodontal Specialists's practice location on file with NPPES is 745 Edgemont St, Shreveport, LA 71106-2246.
- What is Shreveport Periodontal Specialists's phone number?
- The practice phone number listed in the NPPES registry for Shreveport Periodontal Specialists is (318) 868-0535.
- Who is the authorized official for Shreveport Periodontal Specialists?
- The authorized official listed on Shreveport Periodontal Specialists's NPPES record is Angela Watson, Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shreveport Periodontal Specialists's NPI active?
- Yes — Shreveport Periodontal Specialists's NPI (1720803356) is active in the NPPES registry as of the last update on 2024-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.