Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629451471 Individual Practitioner Female Practitioner

Dr. Dantel Weaver , DDS

Dentist - General Practice • Spring Park, MN

Professional Overview & Biography Verified Profile Summary

Dr. Dantel Weaver, DDS is a registered healthcare professional specializing in Dentist - General Practice in Spring Park, MN. Practice services are available at 4100 SHORELINE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4100 Shoreline Dr

Spring Park, MN 553844508

Telephone 9524710900
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Spring Park, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 33.3 Yrs
Regional Practice Density
2 Specialists

Practicing in Spring Park, MN (2262 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 MN D13769

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 32282

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
Aaron Tsay

Dentist

NPI 1629451000

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 12, 2016

NPI status registered as active in NPPES database

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Updated Practice Location December 12, 2016

Registered at 4100 SHORELINE DR, SPRING PARK, MN 553844508 (Tel: 9524710900)

📍
Updated Business Mailing Address December 12, 2016

Registered at 4100 SHORELINE DR, SPRING PARK, MN 553844508

👤
Provider Name / Credentials Updated December 12, 2016

Recorded as DANTEL WEAVER, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2016

Dentist (License #D13769 in MN)

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Initial NPI Registration & Enumeration June 29, 2015

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: 1629451471
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2015
Last Update: December 12, 2016
Sole Proprietor: No

Mailing Address

4100 Shoreline Dr

Spring Park, MN 553844508

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.