| Dr Jack H Weaver, DDS | |
|
3712 Canyon Lake Dr, Rapid City, SD 57702-3198 | |
| (605) 342-3939 | |
| (605) 341-2766 |
| Full Name | Dr Jack H Weaver |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 3712 Canyon Lake Dr, Rapid City, South Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043238389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | M366 (South Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jack H Weaver, DDS 4716 Guest Rd, Rapid City, SD 57702-4815 Ph: (605) 484-4484 | Dr Jack H Weaver, DDS 3712 Canyon Lake Dr, Rapid City, SD 57702-3198 Ph: (605) 342-3939 |
Kelly Lytle, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3312 Jackson Blvd, Rapid City, SD 57702 Phone: 605-342-0989 | |
Dr. Sierra Rae Schafer, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1147 Eglin St, Rapid City, SD 57701 Phone: 605-865-2123 | |
Mason Alexander Hericks, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2606 Elderberry Blvd Ste 1, Rapid City, SD 57703 Phone: 605-737-3150 | |
Dr. Harold A Doerr, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2800 Jackson Blvd, Suite #6, Rapid City, SD 57702 Phone: 605-348-2556 Fax: 605-348-1526 | |
Dr. Bart Aaron Samuelson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 200 Federal Ave, Rapid City, SD 57702 Phone: 605-348-4657 Fax: 605-348-4382 | |
Jeffrey Herbert Wiswall, D.D.S., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2525 W Main St Ste 307, Rapid City, SD 57702 Phone: 605-716-3546 |