Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael R Wiesner, DDS

Individual provider Oral & Maxillofacial Surgery (D.M.D.) · NPI 1154524817

Michael R Wiesner, DDS is an Oral & Maxillofacial Surgery (D.M.D.) in Shreveport, Louisiana. Practices as a sole proprietor and works from 2 locations. Licensed in Louisiana.

Licensed in
LA
In the registry since
2007
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

385 Bert Kouns Loop Ste 700
Shreveport, LA 71106-8163
Phone: (318) 688-9330
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10450 Ellerbe Rd, Shreveport, LA 71106-8163 — (318) 688-9330

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 5831 (LA)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence 5831 (LA)

Record details

NPI number1154524817
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 8, 2007
Last updated in NPPESMarch 11, 2025
Certification dateMarch 11, 2025

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