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MICHAEL R WIESNER D.D.S
NPI 1154524817
Dentist - General Practice in Shreveport, LA

Active since June 08, 2007
385 BERT KOUNS LOOP STE 700, SHREVEPORT, LA 71106(318) 688-9330 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 11, 2025, Aug 22, 2024 (2 updates tracked since 2024).

About Michael R Wiesner D.d.s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL R WIESNER D.D.S (NPI 1154524817) is an individual general practice provider in Shreveport, Louisiana, licensed in Louisiana (5831) and active in the NPI registry since June 2007. He maintains a secondary practice location in Shreveport.

NPPES Registry Identity

NPI1154524817
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMICHAEL R WIESNERCredential: D.D.S
Location Address385 BERT KOUNS LOOP STE 700Shreveport, LA 71106-8163
Mailing Address385 Bert Kouns Loop Ste 700Shreveport, LA 71106-8163 · (318) 779-1254
Phone(318) 688-9330
Sole ProprietorYes
Enumeration DateJune 8, 2007
Last NPPES UpdateMarch 11, 20252 updates tracked since enumeration
NPPES CertifiedMarch 11, 2025
✔ NPI 1154524817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in LA · 5831
Definition
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.
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License 5831 (LA)
385 BERT KOUNS LOOP STE 700, Shreveport, LA 71106
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Secondary Practice Location 1

Location 110450 Ellerbe RdShreveport, LA 71106-8163 · Phone (318) 688-9330 · Fax (318) 212-6539

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL R. WIESNER DDS LLC
Dentist (General Practice)
385 BERT KOUNS LOOP STE 700
SHREVEPORT, LA 71106
Caddo Parish (318) 688-9330
DR. THUY WIESNER D.D.S
Dentist (General Practice)
385 BERT KOUNS LOOP STE 700
SHREVEPORT, LA 71106
Caddo Parish (318) 688-9330

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Wiesner's NPI number?

The NPI number for Michael Wiesner is 1154524817. It was assigned to this individual provider in the NPPES registry on June 8, 2007.

Where is Michael Wiesner located?

Michael Wiesner practices at 385 Bert Kouns Loop Ste 700, Shreveport, LA 71106. The listed phone number is (318) 688-9330.

What is Michael Wiesner's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Michael Wiesner accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 4 other insurers list Michael Wiesner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Wiesner was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.