# S. W. WEBBER D.D.S., P.A.

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

## Provider details

- **NPI number:** 1649289760
- **Authorized official:** SPURGEON WILLARD WEBBER JR. D.D.S. (PRESIDENT)
- **Authorized official phone:** (704) 392-9357

## Contact information

- **Practice address:** 2120 KELLER AVE, CHARLOTTE, NC 28216-4632
- **Practice address phone:** (704) 392-9357
- **Practice address fax:** (704) 394-9098
- **Mailing address:** 2120 KELLER AVE, CHARLOTTE, NC 28216-4632
- **Mailing address phone:** (704) 392-9357
- **Mailing address fax:** (704) 394-9098

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2678 | NC | Yes |

## Other

- **Enumeration date:** 08/07/2006
- **Last updated:** 07/30/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 890160J | — | NC |