Ryan Majid Bukhari, DDS
Dentist, Oral and Maxillofacial Surgery in Shreveport, LA. Individual provider (NPI-1).
NPI number1306452057
StatusActive
Last updated in NPPESJul 21, 2026
Details
- NPI
- 1306452057
- Entity type
- Individual (NPI-1)
- Name
- Ryan Majid Bukhari
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 18, 2020
- Certification date
- Jul 21, 2026
- Last updated
- Jul 21, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | S-1214 | LA | Yes |
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | DRP2242 | FL |
Practice location
1501 Kings HighwayAdmin Building Rm 504
Shreveport, LA 71103
Phone 318-675-6036 · Fax 318-675-8081
Mailing address
1501 Kings HighwayAdmin Building Rm 504
Shreveport, LA 71103
Phone 318-675-6036 · Fax 318-675-8081
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All 20 Oral and Maxillofacial Surgery (Dentist) providers in Shreveport · All 11,081 providers in Shreveport
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