NPI 1003944232

Rufus Vardis Loud, DDS

Practitioner General Practice Dentistry Shreveport, LA

Practice location

Address: 2701 Frederick St, Shreveport, LA 71109-3607
Phone: (318) 631-3464
Fax: (318) 631-3464
Mailing address: 112 Plano St, Shreveport, LA 71103-2055

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 1955 (LA)

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Registry record

NPI: 1003944232
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.