ARKLATEX ORAL & MAXILLOFACIAL SURGERY A PARTNERSHIP OF PROFESSIONAL DE
NPI 1003092545
Dentist - Oral and Maxillofacial Surgery in Shreveport, LA

Active since January 15, 2008
7600 FERN AVE, BUILDING 1400, SHREVEPORT, LA 71105(318) 797-5812 Get Directions Write a Review

NPPES record last updated: February 2, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Arklatex Oral & Maxillofacial Surgery A Partnership Of Professional De NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ARKLATEX ORAL & MAXILLOFACIAL SURGERY A PARTNERSHIP OF PROFESSIONAL DE (NPI 1003092545) is a healthcare organization registered as an oral and maxillofacial surgery in Shreveport, Louisiana and active in the NPI registry since January 2008. The organization lists Brian R Smith, President, as its authorized official.

NPPES Registry Identity

NPI1003092545
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameARKLATEX ORAL & MAXILLOFACIAL SURGERY A PARTNERSHIP OF PROFESSIONAL DE
Location Address7600 FERN AVE, BUILDING 1400Shreveport, LA 71105-5659
Mailing Address7600 Fern Ave, Building 1400Shreveport, LA 71105-5659 · (318) 797-5812
Organization SubpartNo
Authorized OfficialBrian R SmithPresident · (318) 797-5812
Enumeration DateJanuary 15, 2008
Last NPPES UpdateFebruary 2, 2011
✔ NPI 1003092545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
7600 FERN AVE, Shreveport, LA 71105

Other Identifiers 1

Medicare UPIN5DQ89LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Arklatex Oral & Maxillofacial Surgery A Partnership Of Professional De is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Arklatex Oral & Maxillofacial Surgery A Partnership Of Professional De, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Maxillofacial Surgery
NPI 1750347498
7600 FERN AVE BUILDING 1400
Shreveport, LA 71105
(318) 797-5812
✔ PECOS✔ Accepts MedicareSame address
Maxillofacial Surgery
NPI 1639191182
2125 E BERT KOUNS INDUSTRIAL LOOP
Shreveport, LA 71105
(318) 797-5812
✔ PECOS1.4 mi
Maxillofacial Surgery
NPI 1093122202
7600 FERN AVE STE 600
Shreveport, LA 71105
(318) 797-5812
✔ PECOS✔ Accepts Medicare1.8 mi
Oral Surgery
NPI 1285806810
1501 KINGS HWY
Shreveport, LA 71103
(318) 813-2625
✔ PECOS✔ Accepts Medicare4.0 mi
Oral Surgery
NPI 1336359744
2250 HOSPITAL DR SUITE 132
Bossier City, LA 71111
(318) 747-5812
✔ PECOS✔ Accepts Medicare8.7 mi
Oral Surgery
NPI 1952538092
60 N MERRIMON AVE
Asheville, NC 28804
(865) 771-0818
✔ PECOS677 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Arklatex Oral & Maxillofacial Surgery A Partnership Of Professional De's NPI number?

The NPI number for Arklatex Oral & Maxillofacial Surgery A Partnership Of Professional De is 1003092545. It was assigned to this organization in the NPPES registry on January 15, 2008.

Where is Arklatex Oral & Maxillofacial Surgery A Partnership Of Professional De located?

Arklatex Oral & Maxillofacial Surgery A Partnership Of Professional De is located at 7600 Fern Ave Building 1400, Shreveport, LA 71105. The listed phone number is (318) 797-5812.

What is Arklatex Oral & Maxillofacial Surgery A Partnership Of Professional De's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Arklatex Oral & Maxillofacial Surgery A Partnership Of Professional De enrolled in Medicare?

Yes. Arklatex Oral & Maxillofacial Surgery A Partnership Of Professional De is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Arklatex Oral & Maxillofacial Surgery A Partnership Of Professional De?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Arklatex Oral & Maxillofacial Surgery A Partnership Of Professional De. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Maxillofacial Surgery (3) and Oral Surgery (3). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Arklatex Oral & Maxillofacial Surgery A Partnership Of Professional De accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Arklatex Oral & Maxillofacial Surgery A Partnership Of Professional De as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Arklatex Oral & Maxillofacial Surgery A Partnership Of Professional De was last updated on February 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.