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Kool Smiles

NPI 1679026264ActiveOrganization· Dentist· Shreveport, LA

Dentist in Shreveport, Louisiana, registered in NPPES in July 2016. The authorized official on file is Jessie Dixon, DDS, General Dentist.

Overview

NPI1679026264
StatusActive
Entity typeOrganization
NPI issuedJul 29, 2016
Last updated in NPPESJul 29, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X6698LA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Dentist providers in Shreveport

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