Organization
SHREVEPORT DENTAL SOLUTIONS I LLC
Active
Other names
Shreveport Dental Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN KACOS (OWNER)
(318) 869-2593
Entity
Organization
Contact information
Practice address
6009 YOUREE DR, SHREVEPORT, LA 71105-4413
(318) 869-2593
Mailing address
6009 YOUREE DR, SHREVEPORT, LA 71105-4413
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/07/2025
Last updated
04/14/2026
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