Michael E Woolbert DDS LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4020 Issued in LA

Legal business name

MICHAEL E WOOLBERT DDS LLC

Practice address

7600 Fern Avenue
Building 1100
Shreveport, LA 71105

Phone

(318) 868-8276

Fax

(318) 868-8212

NPI assigned

Jul 13, 2018

Last updated

Jul 13, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Edward Woolbert, DDSNPI 1396702908

Title

Manager

Phone

(318) 868-8276

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Edward Woolbert, DDS

  • General Practice Dentistry
  • Shreveport, LA
  • NPI 1396702908
  Authorized official Same address or phone

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531440000000",
    "number": "1679059539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 FERN AVENUE",
            "address_2": "BUILDING 1100",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71105",
            "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": "7600 FERN AVENUE",
            "address_2": "BUILDING 1100",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71105",
            "telephone_number": "318-868-8276",
            "fax_number": "318-868-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL E WOOLBERT DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-13",
        "last_updated": "2018-07-13",
        "status": "A",
        "authorized_official_last_name": "WOOLBERT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "318-868-8276",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "4020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly E Meyer, PA-C
• D'Rasha Meyers
• Shawnette Meziere, PTA
• Maroun Mhanna, MD
• Michael a Holy a Professional Medical Corporation (Michael a Holy MD)
• Michael R. Wiesner DDS LLC (A Brighter Smile Dental Care)
• Kristi C. Michael, MD
• Richard James Michael, MD
• Lee Michals, MD
• Jose Alejandro Michel, MD

• 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, 2018; 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.