Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL R WIESNER, D.D.S
Active Sole ProprietorMICHAEL R WIESNER, D.D.S is a General Dentistry healthcare provider located in SHREVEPORT, Louisiana. NPI 1154524817 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · SHREVEPORT, LA
Registration Details
- NPI Number
- 1154524817
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 8, 2007 (19.19636957191 yrs)
- Last Updated
- Mar 11, 2025
- Licenses
-
5831 (LA)5831 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
385 BERT KOUNS LOOP STE 700SHREVEPORT, LA, 711068163Browse LA providers · Browse ZIP 71106
- Phone
- 3186889330
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| DR. BRIAN BROADWELL | D.D.S. | 1689679383 |
| DR. JOHNNY LYNN BLACK | D.D.S. | 1437155660 |
| DR. BASEEMAH SAFA NAJEEULLAH | D.D.S. | 1700877859 |
| DR. MICHAEL EDWARD WOOLBERT | DDS | 1396702908 |
| DR. DOUGLAS TROY TALLEY JR. | DDS | 1932167848 |
| DR. JAMES RICHARD BROWN JR. | DDS | 1013975879 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.