Dantel Weaver, DDS

General Practice Dentistry · Spring Park, MN

Individual Active NPI

NPI number 1629451471

Practice location

4100 Shoreline Dr
Spring Park, MN 55384-4508
Phone
(952) 471-0900

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NPI record

NPI
1629451471
Entity type
Individual (Type 1)
Enumeration date
June 29, 2015
Last updated
December 12, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D13769 MN
General Practice Dentistry 1223G0001X 32282 TX

About Dr. Weaver

Dantel Weaver, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 4100 Shoreline Dr, Spring Park, MN 55384-4508. The NPI number 1629451471 was assigned on June 29, 2015 and the record was last updated on December 12, 2016.

Dr. Weaver lists 2 licenses in the registry: #D13769 (MN) for General Practice Dentistry; #32282 (TX) 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 Dantel Weaver, DDS?

The NPI number is 1629451471.

What is the phone number of Dr. Weaver?

The phone number listed for the practice location is (952) 471-0900.

Where is Dr. Weaver located?

4100 Shoreline Dr, Spring Park, MN 55384-4508.

What is the taxonomy code for Dr. Weaver?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

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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