IndividualActive
David Clark, DDS
NPI 1548427693 · Oral and Maxillofacial Surgery (Dentist) · Shreveport, LA
Provider details
- NPI number
- 1548427693
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 6204 (LA)
Specialties & taxonomies
Dental Providers
Practice location
2120 Bert Kouns Loop Ste D
Shreveport, LA 71118-3351
Phone: (318) 687-9800
Approximate (ZIP-level) locationGet directions
Mailing address
2120 Bert Kouns Loop Ste D
Shreveport, LA 71118-3351
Registry dates
- Enumerated
- 2008-05-16
- Last updated
- 2011-07-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.