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Dr. Jack H Weaver, DDS
General Practice Dentistry in Rapid City, South Dakota
NPI 1043238389

Jack H Weaver is a General Practice Dentistry based in Rapid City, SD and is specialized in General Practice. Jack H Weaver practices in Rapid City, SD and has the professional credentials of DDS. The NPI Number for Jack H Weaver is 1043238389 and holds a License No. M366 (South Dakota).

The current practice location address for Jack H Weaver is 3712 Canyon Lake Dr, Rapid City, SD and can be reached out via phone at 605-342-3939 and via fax at 605-341-2766.

Location: 3712 Canyon Lake Dr, Rapid City, SD, 57702-4815
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043238389
Provider Name
Jack H Weaver
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
3712 Canyon Lake Dr, Rapid City, SD, 57702-4815
Phone Number
605-342-3939
Fax Number
605-341-2766
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3712 Canyon Lake Dr
City
Rapid City
State
South Dakota
Zip
57702-3198
Phone Number
605-342-3939
Fax Number
605-341-2766
person
Provider Business Mailing Address Details
Address
3712 Canyon Lake Dr
City
Rapid City
State
South Dakota
Zip
57702-3198
Phone Number
605-342-3939
Fax Number
605-341-2766
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
M366 (South Dakota)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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