NPI 1003092545

Arklatex Oral & Maxillofacial Surgery a Partnership of Professional de

Organisation Oral and Maxillofacial Surgery (Dentist) Shreveport, LA

Practice location

Address: 7600 Fern Ave Building 1400, Shreveport, LA 71105-5659
Phone: (318) 797-5812

Authorised official

Name: Brian R Smith
Title: President
Phone: (318) 797-5812

Registered specialties

Oral and Maxillofacial Surgery (Dentist) Primary

Dental Providers Taxonomy 1223S0112X

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Registry record

NPI: 1003092545
Entity type: Organization
NPI issued: 15 Jan 2008
Record last updated: 2 Feb 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.