Wk Oral and Maxillofacial Surgery Institute
NPI 1104584515 · Oral and Maxillofacial Surgery (Dentist) · Shreveport, LA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wk Oral and Maxillofacial Surgery Institute is a Oral and Maxillofacial Surgery (Dentist) organization in Shreveport, LA (NPI 1104584515).
Provider details
- NPI number
- 1104584515
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Mary Ward, Senior Vp Finance(318) 716-4937
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 2400 Hospital Dr Ste 490Bossier City, LA 71111-2391Phone: (318) 212-7821Fax: (318) 212-7769
Registry dates
- Enumerated
- 2021-12-02
- Last updated
- 2026-03-04
- Certified
- 2026-03-04
Frequently asked questions
- What is Wk Oral and Maxillofacial Surgery Institute's NPI number?
- Wk Oral and Maxillofacial Surgery Institute's National Provider Identifier (NPI) is 1104584515, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wk Oral and Maxillofacial Surgery Institute?
- Wk Oral and Maxillofacial Surgery Institute is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Wk Oral and Maxillofacial Surgery Institute located?
- Wk Oral and Maxillofacial Surgery Institute's practice location on file with NPPES is 2508 Bert Kouns Industrial Loop Ste 410, Shreveport, LA 71118-3157.
- What is Wk Oral and Maxillofacial Surgery Institute's phone number?
- The practice phone number listed in the NPPES registry for Wk Oral and Maxillofacial Surgery Institute is (318) 716-4939.
- Does Wk Oral and Maxillofacial Surgery Institute accept Medicare?
- Wk Oral and Maxillofacial Surgery Institute is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Wk Oral and Maxillofacial Surgery Institute?
- The authorized official listed on Wk Oral and Maxillofacial Surgery Institute's NPPES record is Mary Ward, Senior Vp Finance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wk Oral and Maxillofacial Surgery Institute's NPI active?
- Yes — Wk Oral and Maxillofacial Surgery Institute's NPI (1104584515) is active in the NPPES registry as of the last update on 2026-03-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.