DR. JACK WEAVER, DDS
Dentist - General Practice
Active
Individual
NPI: 1043238389
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | M366 (SD) |
Frequently Asked Questions
NPI 1043238389 is the National Provider Identifier for DR. JACK WEAVER, DDS, a Dentist - General Practice provider located in Rapid City, SD. This NPI was enumerated on July 17, 2006.
DR. JACK WEAVER, DDS practices at 3712 CANYON LAKE DR, Rapid City, SD 57702.
Quick Facts
- NPI
- 1043238389
- Type
- Individual
- Enumerated
- Jul 17, 2006
- Last Updated
- Jul 8, 2007
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