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Broadmoor Family Dentistry

Dentist in Shreveport, LA · enumerated 2011 · authorized official Jennifer Cooper, Dentist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1528359536

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Registry record

Entity type Organization (Type 2)
Legal business name Broadmoor Family Dentistry
Practice address 230 Carroll St, #4, Shreveport, LA, 71105
Fax (318) 865-3339
Enumeration date Apr 25, 2011
Last updated in NPPES Apr 25, 2011

Taxonomy & classification

122300000X Dentist Dental Providers · License 5424 (LA) Primary
122300000X Dentist Dental Providers · License 5859 (LA) Secondary

Authorized official

Name Jennifer Cooper
Title Dentist

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Broadmoor Family Dentistry located?
The practice location on file with NPPES is in Shreveport, LA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-04-25. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-04-25.