OrganizationActive
Shreveport Center for Oral and Facial Surgery, L.L.C.
NPI 1245906148 · Oral & Maxillofacial Surgery (D.M.D.) · Shreveport, LA
Provider details
- NPI number
- 1245906148
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Authorized official
- Wesley Carlisle, Oral and Maxillofacial Surgeon
Practice location
915 Shreveport Barksdale Hwy
Shreveport, LA 71105-2205
Phone: (318) 865-0249
Fax: (318) 869-0026
Mailing address
915 Shreveport Barksdale Hwy
Shreveport, LA 71105-2205
Registry dates
- Enumerated
- 2021-08-19
- Last updated
- 2021-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.