Weber DDS PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

WEBER DDS PC

Practice address

222 S Woods Mill Rd Ste 720N
Chesterfield, MO 63017-3650

Phone

(314) 434-0493

Fax

(314) 434-7883

NPI assigned

Sep 21, 2007

Organization subpart

Yes

Parent organization

WEBER DDS PCAs reported in NPPES

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

Authorized official

Name

Donna Marie Graeser

Title

Insurance

Phone

(314) 434-0493

Specialties & licenses 2

Addresses

Other names 1

• St Louis County Oral and Maxillofacial Surgery Doing business as

Part of

Weber DDS PC

Locations

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1073709226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S WOODS MILL RD STE 720N",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173650",
            "telephone_number": "314-434-0493",
            "fax_number": "314-434-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S WOODS MILL RD STE 720N",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173650",
            "telephone_number": "314-434-0493",
            "fax_number": "314-434-7883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11810 Gravois Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631271829",
            "country_code": "US",
            "telephone_number": "314-842-5340",
            "fax_number": "314-849-9567",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Jungermann Cir Ste 202",
            "address_purpose": "LOCATION",
            "city": "Saint Peters",
            "state": "MO",
            "postal_code": "633761625",
            "country_code": "US",
            "telephone_number": "636-928-1222",
            "fax_number": "636-928-2293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WEBER DDS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEBER DDS PC",
        "enumeration_date": "2007-09-21",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "GRAESER",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "INSURANCE",
        "authorized_official_telephone_number": "314-434-0493"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Louis County Oral and Maxillofacial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sanford I Wax, DDS
• Lori Weatherspoon
• Douglas Paul Weaver, R.PH
• Shauna Weaver, LPC
• Thomas Kevin Webb, CRNA
• Richard W Weber Jr., MD DDS
• Timothy M Weber, DMD, MD
• Brian Wegman, M.D.
• Jiawei Wei, MD
• Richard Joseph Weibert, D.M.D.

• Oral and Maxillofacial Surgery (Dentist) in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.