MICHAEL R. WIESNER DDS LLC NPI 1750101606

NPI Information

  • NPI: 1750101606
  • Provider Name: MICHAEL R. WIESNER DDS LLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 385 BERT KOUNS LOOP STE 700
    SHREVEPORT, LA
    ZIP 71106
  • Phone: (318) 688-9330

Map and Directions

Get Directions

NPI Details

MICHAEL R. WIESNER DDS LLC is a general practice dentist in Shreveport, LA. The provider is 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. MICHAEL R. WIESNER DDS LLC NPI is 1750101606. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

385 BERT KOUNS LOOP STE 700
SHREVEPORT, LA
ZIP 71106-163
Phone: (318) 688-9330
Fax: (318) 212-6539

The provider's authorized official is Inger Whittington .
The authorized official title is Insurance Billing Lead and has the following contact phone number (318) 606-7622.

The enumeration date for this NPI number is 10/15/2024 and was last updated on 10/15/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.