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Michael R. Wiesner, D.D.S

General Dentistry · Shreveport, LA

UnclaimedD.D.SNPI 1154524817
Primary taxonomy
1223G0001X
Enumerated
2007-06-08
Practice location
Shreveport, LA
Last NPPES update
2025-03-11

State licenses

  • LA · Dentist · NPPES self-reportedListed on NPI record

“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.

Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.