Name: SHREVEPORT CENTER FOR ORAL AND FACIAL SURGERY, L.L.C. Specialty: Oral and Maxillofacial Surgery (Dentist) Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Practice Type: Dental Providers Classification: Dentist Specialization: Oral and Maxillofacial Surgery. Definition of Specialty: 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.
License & NPI
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Practice Location: SHREVEPORT CENTER FOR ORAL AND FACIAL SURGERY, L.L.C.,915 SHREVEPORT BARKSDALE HWY,SHREVEPORT,LA,711052205,US Mailing Address: SHREVEPORT CENTER FOR ORAL AND FACIAL SURGERY, L.L.C.,915 SHREVEPORT BARKSDALE HWY,SHREVEPORT,LA,711052205,US
Practice location phone #: 3188650249 Practice location fax #: 3188690026 Mailing address Phone #: 3188650249 Mailing Address fax #: 3188690026 Authorized official Name/Telephone #:DR., WESLEY, D., CARLISLE, MD, DMD, ORAL AND MAXILLOFACIAL SURGEON 3188650249
Date NPI was obtained: 08/19/2021 Last data data was updated: 08/19/2021 Insurances: