# GARY E. WEBER, DDS, PC

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

## Provider details

- **NPI number:** 1508236258
- **Authorized official:** DR. GARY E WEBER DDS (DDS/OWNER)
- **Authorized official phone:** (765) 825-1121

## Contact information

- **Practice address:** 1910 VIRGINIA AVE, CONNERSVILLE, IN 47331-2834
- **Practice address phone:** (765) 825-1121
- **Practice address fax:** (765) 827-1197
- **Mailing address:** 1910 VIRGINIA AVE, CONNERSVILLE, IN 47331-2834
- **Mailing address phone:** (765) 825-1121
- **Mailing address fax:** (765) 827-1197

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12007534A | IN | Yes |

## Other

- **Enumeration date:** 10/06/2015
- **Last updated:** 10/06/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100250410A | — | IN |