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

Dr. Bisi Joseph Ekundayo, DMD

Individual provider Dentist · NPI 1558918722

Dr. Bisi Joseph Ekundayo, DMD is a Dentist in Shreveport, Louisiana. Licensed in Louisiana, Texas and Wisconsin. Registered with an NPI since 2019.

Licensed in
LA, TX, WI
In the registry since
2019
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1625 David Raines Rd
Shreveport, LA 71107-5899
Phone: (318) 425-2252
Fax: (318) 425-2367
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 6001317-15 (WI)
Dentist Taxonomy 122300000X · Licence 7024 (LA)
Dentist Taxonomy 122300000X · Licence 38070 (TX)

Record details

NPI number1558918722
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 22, 2019
Last updated in NPPESJuly 27, 2023
Certification dateJuly 27, 2023

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