NPI 1013923093

Gregory Neil Bane, DDS

Practitioner General Practice Dentistry Shreveport, LA

Practice location

Address: 510 E Stoner Ave Bldg 57, Shreveport, LA 71101-4243
Phone: (318) 221-8411
Mailing address: 10042 Toulouse Dr, Shreveport, LA 71106-8521

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 4680 (LA)

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Registry record

NPI: 1013923093
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Jul 2006
Record last updated: 15 Feb 2023

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.