Michael Edward Woolbert, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4020 Issued in LA

Practice address

3100 Woodlawn Ave
Suite C
Shreveport, LA 71104-4637

Phone

(318) 868-8276

Fax

(318) 868-8212

NPI assigned

Apr 27, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michael E Woolbert DDS LLC

  • General Practice Dentistry
  • Shreveport, LA
  • NPI 1679059539
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1396702908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 WOODLAWN AVE",
            "address_2": "SUITE C",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711044637",
            "telephone_number": "318-868-8276",
            "fax_number": "318-868-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 WOODLAWN AVE",
            "address_2": "SUITE C",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711044637",
            "telephone_number": "318-868-8276",
            "fax_number": "318-868-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLBERT",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "4020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1840203",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas Woods
• Megan Rae Woods
• Seborn Enloe Woods, MD
• Tara D Woods, BA
• Cheynita Delphine Woodson-Jones, M.D.
• Meredith Dewitt Wooster, M.D.
• Ellie Kate Wooten
• Evan Wooten, CRNA
• Catrina Nicole Wordlaw, MS, MHP, PLPC
• Worksafe Drug and Alcohol Mobile Testing

• General Practice Dentistry in Shreveport, LA
• Providers in Shreveport, LA by specialty
• General Practice Dentistry in Louisiana

• 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.

Verify at the official NPI Registry.