Active NPI
Gordon Wilson Woollard, DDS MS
- Endodontics
- Fort Polk, LA
National Provider Identifier
1265482350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 5361
- Practice address
- 1840 Bellrichard
Chesser Dental Clinic
Ft Polk, LA 71459 - Phone
- (337) 531-4854
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 5361 | NE | Primary |
Addresses
Primary practice location
1840 Bellrichard
Chesser Dental Clinic
Ft Polk, LA 71459
Mailing address
5609 Mudry CT
Fort Polk, LA 71459-3448
Phone (337) 531-4833
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5361 | NE | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1265482350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5609 MUDRY CT",
"city": "FORT POLK",
"state": "LA",
"postal_code": "714593448",
"telephone_number": "337-531-4833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1840 BELLRICHARD",
"address_2": "CHESSER DENTAL CLINIC",
"city": "FT POLK",
"state": "LA",
"postal_code": "71459",
"telephone_number": "337-531-4854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOLLARD",
"first_name": "GORDON",
"middle_name": "WILSON",
"name_prefix": "Dr.",
"credential": "DDS MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NE",
"license": "5361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Polk, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.