IndividualActive
Kris Carroll
NPI 1619753712 · Oral and Maxillofacial Surgery (Dentist) · Shreveport, LA
Provider details
- NPI number
- 1619753712
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 338624 (LA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 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
2508 Bert Kouns Industrial Loop
Shreveport, LA 71118-3133
Phone: (318) 212-5210
Street-level locationGet directions
Mailing address
2508 Bert Kouns Industrial Loop
Shreveport, LA 71118-3133
Additional practice locations (2)
- 2400 Hospital DrBossier City, LA 71111-2385Phone: (318) 212-7000
- 2611 Greenwood RdShreveport, LA 71103-3907Phone: (318) 212-8074
Registry dates
- Enumerated
- 2023-09-05
- Last updated
- 2023-09-05
- Certified
- 2023-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.