DRS Michael J Gambill & Corey J Cloud LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DRS MICHAEL J GAMBILL & COREY J CLOUD LLC

Doing business as

Gleam Dentistry

Practice address

230 Carroll St
Shreveport, LA 71105-4248

Phone

(318) 742-9333

NPI assigned

Dec 21, 2023

Last updated

Dec 21, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kristal Good

Title

Office Manager

Phone

(318) 742-9333

Specialties & licenses 1

Addresses

Other names 1

• Gleam Dentistry Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1962271759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2285 BENTON RD STE A100",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113465",
            "telephone_number": "318-742-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 CARROLL ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711054248",
            "telephone_number": "318-742-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS MICHAEL J GAMBILL & COREY J CLOUD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-21",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "GOOD",
        "authorized_official_first_name": "KRISTAL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "318-742-9333"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gleam Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• DRG Medical LLC (Gibson Family Practice)
• Driggers Diabetic Supply LLC
• Joseph Drinkard
• Kourtney Driskell
• DRL Labs LTD
• DRS Steen & Hall, Apmc (Steen-Hall Eye Institute)
• DRS. Eddleman and Gladney, Amp
• DRS. Mitchell & Montgomery
• Demarcus Drumgo, MD,MS
• Dianna Drummond, SLP

• General Practice Dentistry in Shreveport, LA
• Providers in Shreveport, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.