Ronald Weems Jr. P.c.

NPI #1700100930 in O Fallon, Illinois

Provider Information

NPI Number: 1700100930
Entity Type: Organization
Organization Name: Ronald Weems Jr. P.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 17, 2010
Last Updated: May 14, 2013

Practice Location

Address: 3750 GREEN MOUNT CROSSING DR
City: O Fallon
State: Illinois
ZIP Code: 62269-7293
Phone: (618) 628-7050

Authorized Official

Name: AMANDA HENDERSON JR.
Title: OWNER
Phone: (618) 288-6201

Specialties & Taxonomy Codes

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

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