# A BRIGHTER SMILE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366822710
- **Authorized official:** INGER WHITTINGTON (INSURANCE CLERK)
- **Authorized official phone:** (318) 688-9330

## Contact information

- **Practice address:** 385 BERT KOUNS LOOP, SUITE 700, SHREVEPORT, LA 71106-8158
- **Practice address phone:** (318) 688-9330
- **Practice address fax:** (318) 688-1183
- **Mailing address:** 385 BERT KOUNS LOOP, SUITE 700, SHREVEPORT, LA 71106-8158
- **Mailing address phone:** (318) 688-9330
- **Mailing address fax:** (318) 688-1183

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5831 | LA | Yes |

## Other

- **Enumeration date:** 06/01/2015
- **Last updated:** 06/01/2015
