Shreveport Center for Oral and Facial Surgery, L.L.C.
NPI 1245906148ActiveOrganization· Oral & Maxillofacial Surgery· Shreveport, LA
Oral & Maxillofacial Surgery in Shreveport, Louisiana, registered in NPPES in August 2021. The authorized official on file is Wesley D. Carlisle, MD, DMD, Oral And Maxillofacial Surgeon.
Overview
| NPI | 1245906148 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 19, 2021 |
| Last updated in NPPES | Aug 19, 2021 |
| Certified by provider | Aug 19, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Oral & Maxillofacial Surgery Primary | 204E00000X | — | — |
| Dentist, Oral and Maxillofacial Surgery | 1223S0112X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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