NPI 1346627445

Wesley D. Carlisle, MDDMD

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

Practice location

Address: 915 Shreveport Barksdale Hwy, Shreveport, LA 71105-2205
Phone: (318) 865-0249
Fax: (318) 869-0026

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 302556 (LA)

Other Oral & Maxillofacial Surgery providers in Louisiana →

Oral and Maxillofacial Surgery (Dentist)

Dental Providers Taxonomy 1223S0112X Licence 7256 (LA)

Other Dentist providers in Louisiana →

Registry record

NPI: 1346627445
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Apr 2015
Record last updated: 19 Aug 2021

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.