Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Louisiana State University Health Sciences Center

Organization Oral & Maxillofacial Surgery (D.M.D.) · NPI 1417992249

Louisiana State University Health Sciences Center is an Oral & Maxillofacial Surgery (D.M.D.) in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2006.

Licensed in
LA
In the registry since
2006
Specialties on file
15

Practice location Address checks out

1501 Kings Hwy Lsuhsc-S Clinics
Shreveport, LA 71103-4228
Phone: (318) 675-7737
Fax: (318) 675-5666
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 142 (LA)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence 142 (LA)
Allergy & Immunology Physician Taxonomy 207K00000X · Licence 142 (LA)
Dermatology Physician Taxonomy 207N00000X · Licence 142 (LA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 142 (LA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 142 (LA)
Nuclear Medicine Physician Taxonomy 207U00000X · Licence 142 (LA)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 142 (LA)
Ophthalmology Physician Taxonomy 207W00000X · Licence 142 (LA)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 142 (LA)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 142 (LA)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 142 (LA)
Pediatrics Physician Taxonomy 208000000X · Licence 142 (LA)
Psychiatry Physician Taxonomy 2084P0800X · Licence 142 (LA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 142 (LA)

Record details

NPI number1417992249
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLouisiana State University Health Sciences Center
Authorized official Leisa Oglesby — Executive Director For Medical Serv · (318) 675-7629
Other names Lsu Health Shreveport; Lsuhsc-S Clinics; Lsuhsc-S Clinics
NPI enumeratedJune 17, 2006
Last updated in NPPESNovember 17, 2022
Certification dateNovember 17, 2022
Mailing address1501 Kings Hwy, Lsuhsc-S Clinics, Shreveport, LA 71103-4228

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