IndividualActive
Harish Tummala, MD, DMD
NPI 1023632098 · Oral and Maxillofacial Surgery (Dentist) · Shreveport, LA
Provider details
- NPI number
- 1023632098
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- MD, DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- DN24898 (FL)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
1501 Kings Hwy
Shreveport, LA 71103-4228
Phone: (304) 890-0118
Approximate (ZIP-level) locationGet directions
Mailing address
14102 Nw 30th Ave
Gainesville, FL 32606-5392
Registry dates
- Enumerated
- 2020-06-04
- Last updated
- 2022-11-12
- Certified
- 2022-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.