Individual provider Active NPI

David M. Weedon, DDS

  • General Practice Dentistry
  • Bridgewater, NJ
National Provider Identifier
1124029905
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI01640300 Issued in NJ
Practice address
720 Route 202/206
Bridgewater, NJ 08807-1746
Phone
(908) 707-1133
Fax
(908) 707-4665
NPI assigned
Aug 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI01640300 NJ Primary

Addresses

Primary practice location

720 Route 202/206
Bridgewater, NJ 08807-1746

Mailing address

720 Route 202/206
Bridgewater, NJ 08807-1746
Phone (908) 707-1133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Sep 25, 2015 through Sep 25, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22DI01640300NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1124029905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 ROUTE 202/206",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071746",
            "telephone_number": "908-707-1133",
            "fax_number": "908-707-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 ROUTE 202/206",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071746",
            "telephone_number": "908-707-1133",
            "fax_number": "908-707-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEEDON",
        "first_name": "DAVID",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01640300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

Verify at the official NPI Registry.