James R. Weaver, D.D.S.

General Practice Dentistry · Lafayette, IN

Individual Active NPI

NPI number 1417175647

Practice location

35 S Creasy Ln Ste 3
Lafayette, IN 47905-5254
Phone
(765) 446-0042
Fax
(765) 446-0046

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NPI record

NPI
1417175647
Entity type
Individual (Type 1)
Enumeration date
April 23, 2007
Last updated
December 10, 2020
Certified
December 10, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 12011732A IN

Mailing address

3974 Bell Ct
Nampa, ID 83686-1411
Phone
(208) 284-0054

About Dr. Weaver

James R. Weaver, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 35 S Creasy Ln Ste 3, Lafayette, IN 47905-5254. The NPI number 1417175647 was assigned on April 23, 2007 and the record was last updated on December 10, 2020.

Dr. Weaver lists a license in the registry: #12011732A (IN) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of James R. Weaver, D.D.S.?

The NPI number is 1417175647.

What is the phone number of Dr. Weaver?

The phone number listed for the practice location is (765) 446-0042.

Where is Dr. Weaver located?

35 S Creasy Ln Ste 3, Lafayette, IN 47905-5254.

What is the taxonomy code for Dr. Weaver?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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