David K Clark DDS - Oral Surgery Associates-Apdc

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

DAVID K CLARK DDS - ORAL SURGERY ASSOCIATES-APDC

Practice address

2120 Bert Kouns Loop Ste D
Shreveport, LA 71118-3351

Phone

(318) 687-9800

Fax

(318) 687-4752

NPI assigned

Mar 28, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Tandy L Parish

Title

Office Manager

Phone

(318) 687-9800

Specialties & licenses 1

Addresses

Other names 1

• ORAL SUGERY ASSOCIATES Former legal business name

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Kyle Clark, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Shreveport, LA
  • NPI 1548427693
  NPD
• Logan Collins Banner, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Shreveport, LA
  • NPI 1740577592
  NPD (past)
• Scott Belozer, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Shreveport, LA
  • NPI 1497318596
  NPD (past)
• Rachel A Bishop, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Shreveport, LA
  • NPI 1124443064
  NPD (past)
• Paul M. Clark Jr., DDS

  • Oral and Maxillofacial Pathology Dentistry
  • Shreveport, LA
  • NPI 1386758936
  NPD (past)
• Frank W Harmon, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Shreveport, LA
  • NPI 1942391362
  NPD (past)
• W H Worley, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Bossier City, LA
  • NPI 1790897296
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1497054613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 BERT KOUNS LOOP STE D",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183351",
            "telephone_number": "318-687-9800",
            "fax_number": "318-687-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 BERT KOUNS LOOP STE D",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183351",
            "telephone_number": "318-687-9800",
            "fax_number": "318-687-4752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID K CLARK DDS - ORAL SURGERY ASSOCIATES-APDC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-28",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "PARISH",
        "authorized_official_first_name": "TANDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "318-687-9800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ORAL SUGERY ASSOCIATES",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• David Ashley MD DMD Oral Surgery Group, a Professional Dental Corporation
• David Hudson MD and Willis-Knighton Medical Center
• David Hurtado de Mendoza, MD LLC
• David J Bellew DDS PC
• David J. Colvin MD LLC
• David L Hilton MD
• David M Vieth DDS, a Professional Corporation
• David M. Abdehou, MD and Willis-Knighton Medical Center
• David M. Vieth DDS, a Professional Corporation
• David P. Hamm, M.D.

• Oral and Maxillofacial Surgery Clinic/Center in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.