Individual
SCOTT BELOZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0555
Mailing address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0555
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
36745
TX
1223G0001X
General Practice Dentistry
36745
TX
390200000X
Student in an Organized Health Care Education/Training Program
Primary
S-992
LA
Other
Enumeration date
04/16/2019
Last updated
04/08/2026
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