IndividualActive
Wesley Carlisle, MD, DMD
NPI 1346627445 · Oral & Maxillofacial Surgery (D.M.D.) · Shreveport, LA
Provider details
- NPI number
- 1346627445
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- MD, DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 7256 (LA)
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
- 2015-04-28
- 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.