Organization
RICHARD C. WEBER, D.D.S., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD WEBER DDS (DENTIST - OWNER)
(317) 849-0421
Entity
Organization
Contact information
Practice address
9780 LANTERN RD, SUITE 110, FISHERS, IN 46037-4092
(317) 849-0421
(317) 849-0425
Mailing address
9780 LANTERN RD, SUITE 110, FISHERS, IN 46037-4092
(317) 849-0421
(317) 849-0425
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007910
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12007910
IN DENTIST LICENSE
IN
01
—
1386745792
NPI TYPE 1
IN
Enumeration date
01/12/2009
Last updated
01/12/2009
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