Individual
DR. MATTHEW JON WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.
Contact information
Practice address
504 W 42ND ST, KEARNEY, NE 68845-2453
(214) 590-8058
Mailing address
504 W 42ND ST, KEARNEY, NE 68845-2453
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30968
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
30968
TX
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
32000
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2013
Last updated
02/07/2020
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