John Mark Weber, DDS – General Practice Dentistry

Key facts

NPI: 1669965745
Entity type: Individual (NPI type 1)
Primary specialty: General Practice Dentistry 1223G0001X
License: D1186 (SD)
Practice address: 412 W SD Highway 46
Wagner, SD 57380-9369
Phone: (605) 924-0865
NPI assigned: Jun 12, 2018
Sex: Male
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

John Weber DDS PLLC General Practice Dentistry · Sisseton, SD · NPI 1598447690

NPD GENERAL PRACTICE

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
D1186	SD	MD	General Practice Dentistry

Practice roles

Organization	Specialty	Status	New patients
John Weber DDS PLLC	General Practice	Current	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
General Practice Dentistry	1223G0001X	D1186	SD	Yes

Addresses

Primary practice location

412 W SD Highway 46
Wagner, SD 57380-9369

Mailing address

506 Regal Dr
Yankton, SD 57078-5204
Phone (605) 924-0865

Other providers in Wagner, SD

All providers in Wagner, SD · General Practice Dentistry in South Dakota

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2018. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.