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

Wk Oral and Maxillofacial Surgery Institute

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1104584515

Wk Oral and Maxillofacial Surgery Institute is an Oral and Maxillofacial Surgery (Dentist) in Shreveport, Louisiana. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

2508 Bert Kouns Industrial Loop Ste 410
Shreveport, LA 71118-3157
Phone: (318) 716-4939
Show map & directions

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

Additional practice locations (1)

  • 2400 Hospital Dr Ste 490, Bossier City, LA 71111-2391 — (318) 212-7821

Specialties & licences

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

Record details

NPI number1104584515
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Ward — Senior Vp Finance · (318) 716-4937
NPI enumeratedDecember 2, 2021
Last updated in NPPESMarch 4, 2026
Certification dateMarch 4, 2026
Mailing address2508 Bert Kouns Industrial Loop Ste 410, Shreveport, LA 71118-3157

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