Whalio Doctors

NPI 1700118510

James W. Sikes, Jr. DMD, MD, LLC

Organisation Oral & Maxillofacial Surgery (D.M.D.) Shreveport, LA

Practice location

Address
1455 E Bert Kouns Loop, Shreveport, LA 71105-5634
Phone
(318) 798-4466
Fax
(318) 798-4543

Authorised official

Name
James W Sikes
Title
DMD, Md/Owner
Phone
(318) 798-4466

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 4912 (LA)

Registry record

NPI
1700118510
Entity type
Organization
NPI issued
3 Feb 2010
Record last updated
4 Feb 2010

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.