# CHRIS A. MOTT, DDS APDC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dr. Chris A. Mott, DDS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629670146
- **Authorized official:** FAITH GASKINS (DIRECTOR OF CREDENTIALING)
- **Authorized official phone:** (972) 869-3789

## Contact information

- **Practice address:** 631 MILAM ST STE 101, SHREVEPORT, LA 71101-3534
- **Practice address phone:** (318) 424-7113
- **Mailing address:** 631 MILAM ST STE 101, SHREVEPORT, LA 71101-3534
- **Mailing address phone:** (318) 424-7113

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/10/2020
- **Last updated:** 11/10/2020
