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Deactivated NPI 1558415729 Deactivated / Inactive NPI Male Practitioner

Dr. Fredric Mathias Weber , DDS

Dentist - General Practice • Brookfield, WI

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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. Fredric Weber has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 23, 2007
NPI Deactivation Date April 30, 2026
Total Practice Duration ~19 Years of Practice (2007 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Fredric Weber, DDS was a registered Dentist - General Practice practicing in Brookfield, WI. Throughout an active medical career spanning 19 years, Dr. Weber provided care at the practice location at 17585 W NORTH AVE until profile deactivation on 2026-04-30.

Practice Location & Contact Primary Location

Practice Address

17585 W North Ave
Suite 260

Brookfield, WI 530454365

Telephone 2627827120
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Brookfield, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
45 Specialists

Practicing in Brookfield, WI (2459 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 WI 4001636-015

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
Dr. Mathias Weber , DDS

Dentist - General Practice

NPI 1912079583

Doctor of Dental Surgery

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 April 30, 2026

Record deactivated on April 30, 2026

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 17585 W NORTH AVE, SUITE 260, BROOKFIELD, WI 530454365 (Tel: 2627827120)

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Updated Business Mailing Address July 08, 2007

Registered at 17585 W NORTH AVE, SUITE 260, BROOKFIELD, WI 530454365 (Tel: 2627827120)

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Provider Name / Credentials Updated July 08, 2007

Recorded as FREDRIC WEBER, D.D.S.

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

Dentist (License #4001636-015 in WI)

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Initial NPI Registration & Enumeration January 23, 2007

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: 1558415729
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 23, 2007
Last Update: July 08, 2007
Deactivation Date: April 30, 2026

Mailing Address

17585 W North Ave, Suite 260

Brookfield, WI 530454365

Phone: 2627827120

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.