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Dr. Gregory C. Weeder, DDS
Pediatric Dentist in La Vista, Nebraska
NPI 1346453016

Gregory C. Weeder is a Pediatric Dentist based in La Vista, NE and is specialized in Pediatric Dentistry. Gregory C. Weeder practices in La Vista, NE and has the professional credentials of DDS. The NPI Number for Gregory C. Weeder is 1346453016 and holds a License No. 6322 (Nebraska).

The current practice location address for Gregory C. Weeder is 9825 Giles Rd # Ab, La Vista, NE and can be reached out via phone at 402-932-1177.

Location: 9825 Giles Rd # Ab, La Vista, NE, 68128-2927
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346453016
Provider Name
Gregory C. Weeder
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
9825 Giles Rd # Ab, La Vista, NE, 68128-2927
Phone Number
402-932-1177
Fax Number
Provider Enumeration Date
05/08/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7810 01 NE BCBS IDENTIFIER
83034611500 05 NE
institution
Provider Business Practice Location Address Details
Address
9825 Giles Rd # Ab
City
La Vista
State
Nebraska
Zip
68128-2927
Phone Number
402-932-1177
Fax Number
person
Provider Business Mailing Address Details
Address
9825 Giles Rd # Ab
City
La Vista
State
Nebraska
Zip
68128-2927
Phone Number
402-932-1177
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
6322 (Nebraska)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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