Organization
DOUGLAS S WEAVER DDS APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS S WEAVER DDS (PRESIDENT)
(907) 586-3220
Entity
Organization
Contact information
Practice address
326 4TH ST STE 205, JUNEAU, AK 99801-1167
(907) 586-3220
(907) 586-2905
Mailing address
326 4TH ST STE 205, JUNEAU, AK 99801-1167
(907) 586-3220
(907) 586-2905
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
492
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447226360
NPI PROVIDER ENUMERATOR
AK
05
—
DD0492
—
AK
Enumeration date
03/09/2007
Last updated
08/22/2020
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