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

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1417981739

Dr. Ghali Elias Ghali, DDS, MD is a Maxillofacial Surgery in Shreveport, Louisiana. Graduated from Louisiana State University School of Medicine in Shreveport in 1998, 28 years ago. Practices with Wk Oral and Maxillofacial Surgery Institute, a 4-clinician group and accepts Medicare assignment. Licensed in Louisiana and Texas.

Years since qualifying
28
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
LA, TX
In the registry since
2006
Specialties on file
7
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2508 Bert Kouns Industrial Loop
Shreveport, LA 71118
Phone: (318) 212-5254
Fax: (318) 212-5257
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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 · Licence MD11531R (LA)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 4998 (LA)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence 11531R (LA)
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X · Licence 11531R (LA)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence 4998 (LA)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence 15501 (TX)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence J8547 (TX)

Record details

NPI number1417981739
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MD
Sole proprietorNo
NPI enumeratedJuly 10, 2006
Last updated in NPPESFebruary 2, 2022
Certification dateFebruary 2, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMAXILLOFACIAL SURGERY
Also practisesGENERAL SURGERY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 1998 (28 years in practice)
Group practice Wk Oral And Maxillofacial Surgery Institute — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Shreveport