Individual
DR. GREGORY DEWAYNE BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2010 E. 70TH ST., SHREVEPORT, LA 71105
(318) 798-3000
(318) 798-3044
Mailing address
2010 E. 70TH ST., SHREVEPORT, LA 71105
(318) 798-3000
(318) 798-3044
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5787
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1857874
—
LA
Enumeration date
05/16/2007
Last updated
02/28/2011
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