Jonathan David Weber, DMD

NPI #1023786241 in Appleton, Wisconsin

Provider Information

NPI Number: 1023786241
Entity Type: Individual
Name: Jonathan David Weber, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Sep 1, 2021
Last Updated: Sep 1, 2021

Practice Location

Address: 811 N LYNNDALE DR STE 1A
City: Appleton
State: Wisconsin
ZIP Code: 54914-3085
Phone: (920) 450-4378

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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