NPI 1023786241

Jonathan David Weber, DMD

Practitioner General Practice Dentistry Appleton, WI

Practice location

Address: 811 N Lynndale Dr STE 1a, Appleton, WI 54914-3085
Phone: (920) 450-4378
Mailing address: 1435 N McCarthy Rd APT 5, Appleton, WI 54913-8285

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 1002696-15 (WI)

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Registry record

NPI: 1023786241
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Sep 2021
Record last updated: 1 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.