Individual
DR. CARROLL BUCK ATKINS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
510 E STONER AVE, # 160, SHREVEPORT, LA 71101-4243
(318) 221-8411
(318) 841-4795
Mailing address
PO BOX 5935, SHREVEPORT, LA 71135-5935
(318) 797-8038
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2679
LA
183500000X
Pharmacist
Primary
9568
LA
Other
Enumeration date
07/07/2006
Last updated
09/11/2025
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