Individual provider · Type 1 NPI
Michael R. Wiesner, D.D.S
General Practice Dentistry · Shreveport, LA
NPI number
1154524817
Active
Practice location
385 Bert Kouns Loop Ste 700
Shreveport, LA 71106-8163
Other practice locations
- 10450 Ellerbe Rd, Shreveport, LA 71106-8163 · (318) 688-9330
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 5831 (LA) |
| General Practice Dentistry Primary | 1223G0001X | 5831 (LA) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2 other providers at this address
Other general practice dentistry providers in Shreveport
- Rufus Vardis Loud, DDSGeneral Practice Dentistry Shreveport, LA NPI 1003944232
- Gregory Neil Bane, DDSGeneral Practice Dentistry Shreveport, LA NPI 1013923093
- James Richard Brown Jr., DDSGeneral Practice Dentistry Shreveport, LA NPI 1013975879
- Sharon Denise Sims, DDSGeneral Practice Dentistry Shreveport, LA NPI 1023150810
- Michael O. Feavel, DDSGeneral Practice Dentistry Shreveport, LA NPI 1023246253
- Brian Dolin Basinger, DDSGeneral Practice Dentistry Shreveport, LA NPI 1053478206
- Timothy Nathaniel Tate, D.D.SGeneral Practice Dentistry Shreveport, LA NPI 1063861086
- Darrell I. Jobe, DDSGeneral Practice Dentistry Shreveport, LA NPI 1104845163
About NPI 1154524817
Michael R. Wiesner, D.D.S's National Provider Identifier is 1154524817, issued on Jun 8, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Shreveport, LA. The record was last updated on Mar 11, 2025.