Michael Edward Woolbert in Shreveport - General Practice

Michael Edward Woolbert - NPI 1396702908

Michael Edward Woolbert is a General Practice in Shreveport, Louisiana. Michael Edward Woolbert practices all healthcare services and medical treatments related to General Practice. The NPI Number for Michael Edward Woolbert is 1396702908. The last update date is 2007-07-09.

Michael Edward Woolbert's current location address is 3100 Woodlawn Ave, Shreveport, Louisiana. You can contact this provider via phone number 3188688276 and fax number 3188688212. The mailing address for Michael Edward Woolbert is 3100 Woodlawn Ave, Shreveport, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Edward Woolbert
Address 3100 Woodlawn Ave, Shreveport, Louisiana
Phone Number 3188688276
Fax Number 3188688212
Sole Proprietor X
Credentials DDS

NPI Number Detail

NPI Number 1396702908
Provider Enumeration Date 2006-04-27
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 3100 Woodlawn Ave
City Shreveport
State Louisiana (LA)
Post Code 711044637
Phone Number 3188688276
Fax Number 3188688212

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 4020
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1840203 LA --

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FAQs about Michael Edward Woolbert

What is the unique identifier code issued to Michael Edward Woolbert by the Centers for Medicare & Medicaid Services (CMS)?

The Michael Edward Woolbert has been assigned the NPI (National Provider Identifier) 1396702908. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Michael Edward Woolbert?

The Michael Edward Woolbert is situated at 3100 Woodlawn Ave, in the city of Shreveport, state of LA, with the zip code 711044637.

What is Michael Edward Woolbert's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Michael Edward Woolbert's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.

On what date was the 1396702908 assigned to Michael Edward Woolbert?

The Michael Edward Woolbert was issued its 1396702908 on 2006-04-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Michael Edward Woolbert, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Michael Edward Woolbert, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.

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