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

Oral & Maxillofacial Surgery Center of South Louisiana LLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1629642046

Oral & Maxillofacial Surgery Center of South Louisiana LLC is an Oral and Maxillofacial Surgery (Dentist) in Covington, Louisiana. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

363 Lakeview Ct
Covington, LA 70433-7515
Phone: (985) 687-1616
Fax: (888) 920-7457
Show map & directions

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

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1629642046
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joshua Brandner — Owner · (985) 640-2236
NPI enumeratedMay 19, 2021
Last updated in NPPESMay 19, 2021
Certification dateMay 19, 2021
Mailing address363 Lakeview Ct, Covington, LA 70433-7515

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