Individual
DR. GREGORY NEIL BANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
510 E STONER AVE BLDG 57, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
10042 TOULOUSE DR, SHREVEPORT, LA 71106-8521
(318) 464-1088
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4680
LA
Other
Enumeration date
07/31/2006
Last updated
02/15/2023
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