Andrew T. Weaver, D.D.S.

General Practice Dentistry · Bemidji, MN

Individual Active NPI

NPI number 1578944179

Practice location

1900 Division St W Unit 2
Bemidji, MN 56601-6397
Phone
(218) 333-8832

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NPI record

NPI
1578944179
Entity type
Individual (Type 1)
Enumeration date
June 9, 2015
Last updated
June 9, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D13523 MN

Mailing address

9555 N Grace Lake Rd SE
Bemidji, MN 56601-7383
Phone
(218) 368-3331

About Dr. Weaver

Andrew T. 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 1900 Division St W Unit 2, Bemidji, MN 56601-6397. The NPI number 1578944179 was assigned on June 9, 2015 and the record was last updated on June 9, 2015.

Dr. Weaver lists a license in the registry: #D13523 (MN) 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 Andrew T. Weaver, D.D.S.?

The NPI number is 1578944179.

What is the phone number of Dr. Weaver?

The phone number listed for the practice location is (218) 333-8832.

Where is Dr. Weaver located?

1900 Division St W Unit 2, Bemidji, MN 56601-6397.

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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