WEBER DDS PC (NPI# 1073709226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073709226 |
| Entity Type | Organization |
| Organization Name | WEBER DDS PC |
| Other Organization Name | ST. LOUIS COUNTY ORAL & MAXILLOFACIAL SURGERY |
| Practice Address |
222 S Woods Mill Rd Suite 720n Chesterfield MO 63017-3625 |
| Practice Telephone | 3144340493 |
| Practice Fax Number | 3144347883 |
| Mailing Telephone | 3144340493 |
| Mailing Fax Number | 3144347883 |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2020-08-19 |
| Authorized Official Name | DR. TIMOTHY M WEBER (OWNER) |
| Authorized Official Telephone | 3144340493 |
| Authorized Official Credential | DMD MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
MO | Dental Providers | |
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| St. Louis County Oral & Maxillofacial Surgery | Doing Business As Name - Organization |
| Street Address |
222 S WOODS MILL RD SUITE 720N |
| City | CHESTERFIELD |
| State | MO |
| Zip Code | 63017-3625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396744835 | Cordie C Coordes | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 222 S Woods Mill Rd, Suite 550-n, Chesterfield, MO 63017-3625 | 2005-07-18 |
| 1629681358 | Reihaneh Chokhachi Zadeh Moghadam | Internal Medicine | 222 S Woods Mill Rd, Chesterfield, MO 63017-3625 | 2020-08-24 |
| 1770193054 | Imad Karam | Internal Medicine | 222 S Woods Mill Rd, Chesterfield, MO 63017-3625 | 2020-08-03 |
| 1932718210 | Manuel Fernando Sanchez | Internal Medicine | 222 S Woods Mill Rd, Chesterfield, MO 63017-3625 | 2020-07-23 |
| 1942828967 | Felina Innaci Dass | Internal Medicine | 222 S Woods Mill Rd, Chesterfield, MO 63017-3625 | 2020-07-07 |
| 1356968069 | Justin Michael Barnes | Internal Medicine | 222 S Woods Mill Rd, Chesterfield, MO 63017-3625 | 2020-06-29 |
| 1063039774 | Zoe Leyh | Internal Medicine | 222 S Woods Mill Rd, Chesterfield, MO 63017-3625 | 2020-06-29 |
| 1770100497 | Ishaan Jakhar | Internal Medicine | 222 S Woods Mill Rd, Chesterfield, MO 63017-3625 | 2020-06-29 |
| 1376169433 | Kyle Branson | Internal Medicine | 222 S Woods Mill Rd, Chesterfield, MO 63017-3625 | 2020-06-24 |
| 1619593779 | Ayooluwatomiwa Deborah Adekunle | Internal Medicine | 222 S Woods Mill Rd, Chesterfield, MO 63017-3625 | 2020-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549193 | Kathryn E Bos | Student in an Organized Health Care Education/Training Program | 873 Apt N Foxsprings Dr, Chesterfield, MO 63017 | 2020-05-12 |
| 1700415171 | Charles H. Edwards | Physical Therapist | 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 | 2020-04-07 |
| 1003454562 | Stephanie Henningsen | Physical Therapy Assistant | 307 S Woods Rd, Chesterfield, MO 63017 | 2019-12-16 |
| 1831746296 | Star Lynn Sutton | Occupational Therapy Assistant | 15207 Olive Boulevard, Chesterfield, MO 63017 | 2019-08-21 |
| 1639738438 | Van Amburg & Busiek Md's, LLC | Pharmacy | 232 S Woodsmill Road, Suite 330 East, Chesterfield, MO 63017 | 2019-06-06 |
| 1306306865 | Margaret Mary Wynn | Nurse Practitioner | 15740 South Outer Road, Chesterfield, MO 63017 | 2019-03-21 |
| 1205393089 | Kimberly Danielle | Nurse Practitioner | 744 Forest Trace Dr, Chesterfield, MO 63017 | 2019-02-27 |
| 1457823965 | Allison Joy Mcgrail | Dietitian, Registered | 45740 S Outer Forty Rd, Chesterfield, MO 63017 | 2018-12-21 |
| 1316418080 | Julie Lefere | Social Worker | Mercy Virtual Care Center, 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2018-12-06 |
| 1336629641 | Catherine Dolphin Smith | Nurse Practitioner | 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 | 2018-08-16 |
| Find all providers in zip 63017 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740703842 | Reza Movahed Dmd, LLC | Clinic/Center | 1585 Woodlake Dr Ste 208, Chesterfield, MO 63017-5740 | 2017-07-20 |
| City | CHESTERFIELD |
| Zip Code | 63017 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.