Neeley, Wendell Wayne

Neeley, Wendell Wayne is an individual health care provider with primary practice located at 1501 Kings Hwy , Shreveport LA 71103-4228. He recently has 2 registered licenses in different health care specialties including Dental Providers / Orthodontics and Dentofacial Orthopedics, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Neeley, Wendell Wayne can be contacted via phone (318) 813-2625.

Contact Information

Primary practice address
1501 Kings Hwy Shreveport LA 71103-4228
Phone: (318) 813-2625
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 20792 Texas
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X S-800 Louisiana

Profile Details

NPI number 1285806810
LBN Legal business name Neeley, Wendell Wayne
Credentials DMD, MD, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2008
Last updated Sep 4th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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