John Mark Weber, DDS
Dentist, General Practice in Wagner, SD. Individual provider (NPI-1).
NPI number1669965745
StatusActive
Last updated in NPPESJun 12, 2018
Details
- NPI
- 1669965745
- Entity type
- Individual (NPI-1)
- Name
- John Mark Weber
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 12, 2018
- Last updated
- Jun 12, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | D1186 | SD | Yes |
Practice location
412 W Sd Highway 46Wagner, SD 57380-9369
Phone 605-924-0865
Mailing address
506 Regal DrYankton, SD 57078-5204
Phone 605-924-0865
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