| Michael E Woolbert Dds Llc | |
|
7600 Fern Avenue Building 1100 Shreveport LA 71105 | |
| (318) 868-8276 | |
| (318) 868-8212 |
| Full Name | Michael E Woolbert Dds Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7600 Fern Avenue, Shreveport, Louisiana |
| Authorized Official Name and Position | Michael Edward Woolbert (MANAGER) |
| Authorized Official Contact | 3188688276 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael E Woolbert Dds Llc 7600 Fern Avenue Building 1100 Shreveport LA 71105 Ph: (318) 868-8276 | Michael E Woolbert Dds Llc 7600 Fern Avenue Building 1100 Shreveport LA 71105 Ph: (318) 868-8276 |
| NPI Number | 1679059539 |
|---|---|
| Provider Enumeration Date | 07/13/2018 |
| Last Update Date | 07/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679059539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4020 (Louisiana) | Primary |
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