Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083787170 Individual Practitioner Female Practitioner

Dr. Mary Katherine Weber , DMD

Dentist - General Practice • Charleston, IL

Professional Overview & Biography Verified Profile Summary

Dr. Mary Weber, DMD is a registered healthcare professional specializing in Dentist - General Practice in Charleston, IL. Practice services are available at 1063 10TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1063 10th St

Charleston, IL 619202885

Telephone 2173452176
Fax 2173452195

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Charleston, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
6 Specialists

Practicing in Charleston, IL (5581 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 1924312

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Aga Number
201122 (IL)
Commercial Insurance / Payer ID Lisense Number
1924312 (IL)

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1548313463

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 1063 10TH ST, CHARLESTON, IL 619202885 (Tel: 2173452176)

📍
Updated Business Mailing Address July 09, 2007

Registered at 1063 10TH ST, CHARLESTON, IL 619202885 (Tel: 2173452176)

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Provider Name / Credentials Updated July 09, 2007

Recorded as MARY WEBER, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #1924312 in IL)

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Initial NPI Registration & Enumeration November 16, 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: 1083787170
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 16, 2006
Last Update: July 09, 2007
Sole Proprietor: Yes

Mailing Address

1063 10th St

Charleston, IL 619202885

Phone: 2173452176

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.