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Active NPI 1245304062 Individual Practitioner Male Practitioner

Dr. William Wofford Weller , DDS

Dentist - General Practice • Jacksonville, IL

Professional Overview & Biography Verified Profile Summary

Dr. William Weller, DDS is a registered healthcare professional specializing in Dentist - General Practice in Jacksonville, IL. Practice services are available at 1614 W LAFAYETTE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1614 W Lafayette Ave

Jacksonville, IL 626501000

Telephone 8172454516
Fax 2172457906

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Jacksonville, IL

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

Practicing in Jacksonville, 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

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License AZ 4113

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License TX 17459

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1740350529

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1614 W LAFAYETTE AVE, JACKSONVILLE, IL 626501000 (Tel: 8172454516)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1614 W LAFAYETTE AVE, JACKSONVILLE, IL 626501000 (Tel: 8172454516)

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Provider Name / Credentials Updated July 08, 2007

Recorded as WILLIAM WELLER, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #17459 in TX)

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Initial NPI Registration & Enumeration November 20, 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: 1245304062
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 20, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

1614 W Lafayette Ave

Jacksonville, IL 626501000

Phone: 8172454516

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.