Weaver, Dantel
Weaver, Dantel is an individual health care provider with primary practice located at 4100 Shoreline Dr , Spring Park MN 55384-4508. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Weaver, Dantel can be contacted via phone (952) 471-0900.Contact Information
Primary practice address
4100 Shoreline Dr
Spring Park MN 55384-4508
Phone: (952) 471-0900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D13769 | Minnesota |
| Dental Providers / General Practice | 1223G0001X | 32282 | Texas |
Profile Details
| NPI number | 1629451471 |
|---|---|
| LBN Legal business name | Weaver, Dantel |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2015 |
| Last updated | Dec 12th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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