Organization
GARY E. WEBER, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY E WEBER DDS (DDS/OWNER)
(765) 825-1121
Entity
Organization
Contact information
Practice address
1910 VIRGINIA AVE, CONNERSVILLE, IN 47331-2834
(765) 825-1121
(765) 827-1197
Mailing address
1910 VIRGINIA AVE, CONNERSVILLE, IN 47331-2834
(765) 825-1121
(765) 827-1197
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007534A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100250410A
—
IN
Enumeration date
10/06/2015
Last updated
10/06/2015
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