Search › Louisiana › 122300000X
Ninta Southichack
NPI 1629777636 · on the registry since 2023
Practice
- Address
- 230 Carroll St Ste 3
Shreveport, LA 71105 - Phone
- (318) 693-0091
- Organisation at this address
- Traveling Light Dental Llc
Broadmoor Family Dentistry
Christopher Cosse, Dds, L.L.C.
Southfield Family Dentistry, Inc.
Drs Michael J Gambill & Corey J Cloud LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 122300000X
- Licence states on file
- LA, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-02-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana