Implant SpecialistFinder

Wk Oral and Maxillofacial Surgery Institute

Oral surgery practice in Shreveport, LA

Registered specialist

Call (318) 716-4939Send a messageMap ↗

Public-record details

Address
2508 Bert Kouns Industrial Loop Ste 410, Shreveport, LA 71118
Phone
(318) 716-4939
Listed under
Oral & maxillofacial surgeons, Specialty practices
NPI
1104584515
NPI status
Active in the NPPES registry
Provider type
Organization (practice, clinic or company)
Registered specialty (self-reported taxonomy)
Oral and Maxillofacial Surgery (1223S0112X)
Authorized official
Mary Ward, Senior Vp Finance
NPI first issued
Dec 2, 2021
NPI record last updated
Mar 4, 2026

NPI 1104584515 is active in the federal NPPES registry (CMS) with Oral and Maxillofacial Surgery, an ADA-recognized dental specialty, as its primary taxonomy. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-09-30.

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an organization, so it may cover several clinicians at this location. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Oral and maxillofacial surgeons are trained in surgery of the mouth and jaws, including placing implants, extractions, bone grafts and sinus lifts, and in anesthesia. Dentists who are not specialists can also place implants; the specialty here is the one the provider registered as primary.

View NPI 1104584515 in the official registry ↗

Checking credentials: the specialty shown is the one this provider registered with the NPI system. Your state dental board's license lookup confirms the license, and the American Board of Prosthodontics, the American Board of Oral and Maxillofacial Surgery and the American Board of Periodontology each list their board-certified members.

Other implant specialists in Shreveport

Caroline Garcia, DDS, MD6912 Fern Loop Ste a · Shreveport, LA 71105 · (318) 585-7667 · Oral & maxillofacial surgeonsRegistered specialty: Oral and Maxillofacial SurgeryRegistered specialistLicense # listed (LA)David Ashley MD DMD Oral Surgery Group, a Professional Dental Corporation734 N Ashley Ridge Loop · Shreveport, LA 71106 · (337) 541-2260 · Oral & maxillofacial surgeonsRegistered specialty: Oral and Maxillofacial Surgery · PracticeRegistered specialistHarish Tummala, MD, DMD385 Bert Kouns Industrial Loop · Shreveport, LA 71106 · (318) 524-7736 · Oral & maxillofacial surgeonsRegistered specialty: Oral and Maxillofacial SurgeryRegistered specialistLicense # listed (FL)Logan Banner, DDS2120 Bert Kouns Industrial Loop Ste D · Shreveport, LA 71118 · (318) 687-9800 · Oral & maxillofacial surgeonsRegistered specialty: Oral and Maxillofacial SurgeryRegistered specialistLicense # listed (LA)Marwa Hatem, DDS1501 Kings Hwy · Shreveport, LA 71103 · (318) 626-0547 · Oral & maxillofacial surgeonsRegistered specialty: Oral and Maxillofacial SurgeryRegistered specialistLicense # listed (LA)Rachel Bishop, DDS5718 Marina Bay Dr · Shreveport, LA 71119 · (903) 387-0728 · Oral & maxillofacial surgeonsRegistered specialty: Oral and Maxillofacial SurgeryRegistered specialistLicense # listed (LA)Ryan Bukhari, DDS1501 Kings Highway, Admin Building Rm 504 · Shreveport, LA 71103 · (318) 675-6036 · Oral & maxillofacial surgeonsRegistered specialty: Oral and Maxillofacial SurgeryRegistered specialistLicense # listed (LA)Scott Belozer, DMD2120 Bert Kouns Industrial Loop Ste D · Shreveport, LA 71118 · (318) 687-9800 · Oral & maxillofacial surgeonsRegistered specialty: Oral and Maxillofacial SurgeryRegistered specialistLicense # listed (LA)

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