# RICHARD C. WEBER, D.D.S., LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386881431
- **Authorized official:** DR. RICHARD WEBER DDS (DENTIST - OWNER)
- **Authorized official phone:** (317) 849-0421

## Contact information

- **Practice address:** 9780 LANTERN RD, SUITE 110, FISHERS, IN 46037-4092
- **Practice address phone:** (317) 849-0421
- **Practice address fax:** (317) 849-0425
- **Mailing address:** 9780 LANTERN RD, SUITE 110, FISHERS, IN 46037-4092
- **Mailing address phone:** (317) 849-0421
- **Mailing address fax:** (317) 849-0425

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12007910 | IN | Yes |

## Other

- **Enumeration date:** 01/12/2009
- **Last updated:** 01/12/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 12007910 | IN DENTIST LICENSE | IN |
| 01 | — | 1386745792 | NPI TYPE 1 | IN |