NPI 1427587054

Ross David Brockman, DMD

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

Practice location

Address: 2508 Bert Kouns Industrial Loop STE 410, Shreveport, LA 71118-3157
Phone: (318) 212-5944
Fax: (318) 212-5949

Registered specialties

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

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 331336 (LA)

Other Oral & Maxillofacial Surgery providers in Louisiana →

Registry record

NPI: 1427587054
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jun 2017
Record last updated: 1 May 2025

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.