Dr. Kenneth James Weidman , DDS
Dentist - General Practice • Breckenridge, MN
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. Kenneth Weidman has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Kenneth Weidman, DDS was a registered Dentist - General Practice practicing in Breckenridge, MN. Throughout an active medical career spanning 10 years, Dr. Weidman provided care at the practice location at 133 5TH ST N until profile deactivation on 2018-06-27.
Practice Location & Contact Primary Location
133 5th St N
Breckenridge, MN 565201420
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Breckenridge, MN
Practicing in Breckenridge, MN (2262 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 27, 2018
NPI status registered as active in NPPES database
Registered at 133 5TH ST N, BRECKENRIDGE, MN 565201420 (Tel: 2186433865)
Registered at 133 5TH ST N, BRECKENRIDGE, MN 565201420 (Tel: 2186433865)
Recorded as KENNETH WEIDMAN, D.D.S.
Dentist (License #D7138 in MN)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
133 5th St N
Breckenridge, MN 565201420
Phone: 2186433865
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