Weber Dental Clinic, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D11492 Issued in MN

Legal business name

WEBER DENTAL CLINIC, INC.

Practice address

405 Henrietta Ave S
Park Rapids, MN 56470-2278

Phone

(218) 732-1414

NPI assigned

Apr 15, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Christina Taylor

Title

Owner/Dentist

Phone

(218) 732-1414

Specialties & licenses 1

Addresses

Other names 1

• Northwoods Dental Doing business as

Locations

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382400000000",
    "number": "1316111982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 HENRIETTA AVE S",
            "address_2": "PO BOX 6",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "564702278",
            "telephone_number": "218-732-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 HENRIETTA AVE S",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "564702278",
            "telephone_number": "218-732-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBER DENTAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2013-10-22",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "218-732-1414",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D11492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwoods Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wal-Mart Stores, Inc Dba Wal-Mart
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• Joshua Robert Wallenberg, DPT
• Walmart Inc.
• Leah M Walters, RDLD/CDE
• Michael G Webster, MD
• Tina Denaie Wedde, DNP, FNP-C, CNP
• Harold Franklin Wellman, COUNSELOR
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• Rhea Wenschlag, PA-C

• General Practice Dentistry in Park Rapids, MN
• Providers in Park Rapids, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; 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.