SHREVEPORT CENTER FOR ORAL AND FACIAL SURGERY, L.L.C.
NPI 1245906148
Oral & Maxillofacial Surgery in Shreveport, LA

Active since August 19, 2021
915 SHREVEPORT BARKSDALE HWY, SHREVEPORT, LA 71105(318) 865-0249(318) 869-0026 Get Directions Write a Review

NPPES record last updated: August 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shreveport Center For Oral And Facial Surgery, L.l.c. NPPES

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

SHREVEPORT CENTER FOR ORAL AND FACIAL SURGERY, L.L.C. (NPI 1245906148) is a healthcare organization registered as an oral & maxillofacial surgery in Shreveport, Louisiana and active in the NPI registry since August 2021. The organization lists Wesley D. Carlisle, Oral And Maxillofacial Surgeon, as its authorized official.

NPPES Registry Identity

NPI1245906148
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameSHREVEPORT CENTER FOR ORAL AND FACIAL SURGERY, L.L.C.
Location Address915 SHREVEPORT BARKSDALE HWYShreveport, LA 71105-2205
Mailing Address915 Shreveport Barksdale HwyShreveport, LA 71105-2205 · (318) 865-0249 · Fax (318) 869-0026
Fax(318) 869-0026
Organization SubpartNo
Authorized OfficialWesley D. CarlisleOral And Maxillofacial Surgeon · (318) 865-0249
Enumeration DateAugust 19, 2021
NPPES CertifiedAugust 19, 2021
NPI 1245906148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X
915 SHREVEPORT BARKSDALE HWY, Shreveport, LA 71105

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Oral & Maxillofacial Surgery
915 SHREVEPORT BARKSDALE HWY
SHREVEPORT, LA 71105
Oral & Maxillofacial Surgery
915 SHREVEPORT BARKSDALE HWY
SHREVEPORT, LA 71105

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 Shreveport Center For Oral And Facial Surgery, L.L.C.'s NPI number?

The NPI number for Shreveport Center For Oral And Facial Surgery, L.L.C. is 1245906148. It was assigned to this organization in the NPPES registry on August 19, 2021.

Where is Shreveport Center For Oral And Facial Surgery, L.L.C. located?

Shreveport Center For Oral And Facial Surgery, L.L.C. is located at 915 Shreveport Barksdale Hwy, Shreveport, LA 71105. The listed phone number is (318) 865-0249.

What is Shreveport Center For Oral And Facial Surgery, L.L.C.'s specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

When was this NPI record last updated?

The NPPES record for Shreveport Center For Oral And Facial Surgery, L.L.C. was last updated on August 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.