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Dr. Mary Katherine Weber, DMD
General Practice Dentistry in Charleston, Illinois
NPI 1083787170

Mary Katherine Weber is a General Practice Dentistry based in Charleston, IL and is specialized in General Practice. Mary Katherine Weber practices in Charleston, IL and has the professional credentials of DMD. The NPI Number for Mary Katherine Weber is 1083787170 and holds a License No. 1924312 (Illinois).

The current practice location address for Mary Katherine Weber is 1063 10Th St, Charleston, IL and can be reached out via phone at 217-345-2176 and via fax at 217-345-2195.

Location: 1063 10Th St, Charleston, IL, 61920-2885
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083787170
Provider Name
Mary Katherine Weber
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
1063 10Th St, Charleston, IL, 61920-2885
Phone Number
217-345-2176
Fax Number
217-345-2195
Provider Enumeration Date
11/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201122 01 IL AGA NUMBER
1924312 01 IL LISENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
1063 10Th St
City
Charleston
State
Illinois
Zip
61920-2885
Phone Number
217-345-2176
Fax Number
217-345-2195
person
Provider Business Mailing Address Details
Address
1063 10Th St
City
Charleston
State
Illinois
Zip
61920-2885
Phone Number
217-345-2176
Fax Number
217-345-2195
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
1924312 (Illinois)
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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