Organization · Type 2 NPI
WK Oral and Maxillofacial Surgery Institute
Oral and Maxillofacial Surgery (Dentist) · Shreveport, LA
NPI number
1104584515
Active
Practice location
2508 Bert Kouns Industrial Loop Ste 410
Shreveport, LA 71118-3157
Other practice locations
- 2400 Hospital Dr Ste 490, Bossier City, LA 71111-2391 · (318) 212-7821
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None listed |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes 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.
3 other providers at this address
- Mayankkumar Samirkumar PatelStudent in an Organized Health Care Education/Training Program Shreveport, LA NPI 1669159927
- Ross David Brockman, DMDOral & Maxillofacial Surgery (D.M.D.) Shreveport, LA NPI 1427587054
- Stavan Yogendra Patel, DDS, MDOral & Maxillofacial Surgery (D.M.D.) Shreveport, LA NPI 1558688309
Other oral and maxillofacial surgery (dentist) providers in Shreveport
About NPI 1104584515
WK Oral and Maxillofacial Surgery Institute's National Provider Identifier is 1104584515, issued on Dec 2, 2021. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Shreveport, LA. The record was last updated on Mar 4, 2026.