TSD KENDALL & GENGEL SHREVEPORT LLC – NPI #1477400745
Clinic/Center

TSD KENDALL & GENGEL SHREVEPORT LLC is an AHC clinic located in SHREVEPORT, LA. NPPES recently assigned the NPI number 1477400745 to TSD KENDALL & GENGEL SHREVEPORT LLC on March 14, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TSD KENDALL & GENGEL SHREVEPORT LLC below.

NPI Profile for
TSD KENDALL & GENGEL SHREVEPORT LLC

NPI Number
1477400745
Enumeration Date

(about 3 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TSD KENDALL & GENGEL SHREVEPORT LLC
Primary location
4354 PINES RD
SHREVEPORT, LA 71119-7738
Phone: (318) 635-1970 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
AMBER HALLUM
OFFICE MANAGER
Phone: (903) 758-5551
Updated
Certification Date
Mar 13, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.