OrganizationActive
Michael R. Wiesner DDS LLC
NPI 1750101606 · General Practice Dentistry · Shreveport, LA
Provider details
- NPI number
- 1750101606
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Inger Whittington, Insurance Billing Lead(318) 606-7622
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
385 Bert Kouns Loop Ste 700
Shreveport, LA 71106-8163
Phone: (318) 688-9330
Fax: (318) 212-6539
Street-level locationGet directions
Mailing address
2557 Viking Dr
Bossier City, LA 71111-2103
Other names (DBA / former)
- Doing business as
- A Brighter Smile Dental Care
Registry dates
- Enumerated
- 2024-10-15
- Last updated
- 2024-10-15
- Certified
- 2024-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.