Individual
SAMANTHA N. HIRT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD, MD
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
1541 KINGS HWY, ATTN: PAYOR CREDENTIALING, SHREVEPORT, LA 71103-4228
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7617
LA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
7617
LA
Other
Enumeration date
02/19/2019
Last updated
02/14/2025
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