Search › Louisiana › Oral and Maxillofacial Surgery (Dentist)
Logan Banner, D.D.S
NPI 1740577592 · on the registry since 2011 · sole proprietor
Practice
- Address
- 2120 Bert Kouns Industrial Loop Ste D
Shreveport, LA 71118 - Phone
- (318) 687-9800
- Organisation at this address
- Kirit S Patel Md Apmc
Thomas E. Kinstrey A Medical Corporation
Council For Advancement Of Social Service And Education
Council For Advancement Of Social Service And Education
Council For Advancement Of Social Service And EducationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 13
Additional practice sites
- 8540 1st Ave Nw # 8, Seattle, WA
Registry record
- Primary taxonomy
- Oral and Maxillofacial Surgery (Dentist)
1223S0112X
- Also registered as
- Dentist
Oral and Maxillofacial Surgery (Dentist) - Licence states on file
- WA, TX, LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana