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

Shreveport Center for Oral and Facial Surgery, LLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1245906148

Shreveport Center for Oral and Facial Surgery, LLC is an Oral and Maxillofacial Surgery (Dentist) in Shreveport, Louisiana. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
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

915 Shreveport Barksdale Hwy
Shreveport, LA 71105-2205
Phone: (318) 865-0249
Fax: (318) 869-0026
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X

Record details

NPI number1245906148
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wesley Carlisle — Oral And Maxillofacial Surgeon · (318) 865-0249
NPI enumeratedAugust 19, 2021
Last updated in NPPESAugust 19, 2021
Certification dateAugust 19, 2021
Mailing address915 Shreveport Barksdale Hwy, Shreveport, LA 71105-2205

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