Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1972556595 Deactivated / Inactive NPI Male Practitioner

Dr. Rodger Norman Weller , DMD

Dentist - Endodontics • Augusta, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Rodger Weller has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 17, 2006
NPI Deactivation Date September 20, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Rodger Weller, DMD was a registered Dentist - Endodontics practicing in Augusta, GA. Throughout an active medical career spanning 12 years, Dr. Weller provided care at the practice location at 1430 JOHN WESLEY GILBERT DRIVE until profile deactivation on 2018-09-20.

Practice Location & Contact Primary Location

Practice Address

1430 John Wesley Gilbert Drive
Gc-1024

Augusta, GA 309121001

Telephone 7067219633
Fax 7067230266
Associated Practice Facility / Clinic
🏢 Au Dental Associates Facility NPI 1457541781

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in Augusta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
16 Specialists

Practicing in Augusta, GA (162 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License GA DNF000242

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

27 Associated Practitioners
NPI 1033404819

Doctor of Dental Surgery

Dr. Andreina Sananez , DDS, MS

Dentist - Prosthodontics

NPI 1104054816

Doctor of Dental Surgery, Master of Science

Dr. Michael Myers , DMD

Dentist - Prosthodontics

NPI 1104866466

Doctor of Dental Medicine

Dr. Carole Hanes , DMD

Dentist - Pediatric Dentistry

NPI 1114974573

Doctor of Dental Medicine

Ulf Wikesjo

Dentist - Periodontics

NPI 1134280829
Dr. Scott Derossi , DMD

Oral & Maxillofacial Surgery

NPI 1184667370

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 20, 2018

Record deactivated on September 20, 2018

NPI Profile Active January 25, 2012

NPI status registered as active in NPPES database

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Updated Practice Location January 25, 2012

Registered at 1430 JOHN WESLEY GILBERT DRIVE, GC-1024, AUGUSTA, GA 309121001 (Tel: 7067219633)

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Updated Business Mailing Address January 25, 2012

Registered at 1120 15TH ST, GC-1024, AUGUSTA, GA 309120004 (Tel: 7067219633)

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Provider Name / Credentials Updated January 25, 2012

Recorded as RODGER WELLER, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2012

Dentist (License #DNF000242 in GA)

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Initial NPI Registration & Enumeration May 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972556595
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 17, 2006
Last Update: January 25, 2012
Deactivation Date: September 20, 2018

Mailing Address

1120 15th St, Gc-1024

Augusta, GA 309120004

Phone: 7067219633

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.