MEDICARE: RACHEL WEBER DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0300X	Periodontics	D12092	MN
2	1223P0300X	Periodontics	41346	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1417943093	OTHER		MILITARY

General Provider Information

NPI Number	:	1417943093
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL WEBER DDS

Provider Business Mailing Address
First Line	:	2781 ARTILLERY POST RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78234-2682
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1615 TRUEMPER ST
Second Line	:
City	:	JBSA LACKLAND
State	:	TX
Zip	:	78236-5511
Country	:	US
Telephone Number	:	210-292-0749
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2005
Last Update Date	:	09/23/2025

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Directions to “ RACHEL WEBER DDS” Practice Location

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