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DOUGLAS S WEAVER DDS APC
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1437281094
Organizational Registrant:Organization Name: DOUGLAS S WEAVER DDS APC
Organization is not Subpart
Authorized Official: DOUGLAS S WEAVER PRESIDENT 907--58-63220
Organization is not Subpart
Authorized Official: DOUGLAS S WEAVER PRESIDENT 907--58-63220
Location and contact information for practice:
326 4TH ST STE 205 JUNEAU, AK 99801-1167 US
Tel: 907-586-3220 Fax: 907-586-2905
Tel: 907-586-3220 Fax: 907-586-2905
Contact information for business:
326 4TH ST STE 205 JUNEAU, AK 99801-1167 US
Tel: 907-586-3220 Fax: 907-586-2905
Tel: 907-586-3220 Fax: 907-586-2905
Registration Information:
NPI: 1437281094
Entity Type: Organization
Entity Type: Organization
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | AK | 492 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| DD0492 | AK | 05 | |
| NPI PROVIDER ENUMERATOR | 1447226360 | AK | 01 |
