MEDICARE: WILLIAM A WEVER D.D.S.

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	1223G0001X	General Practice Dentistry	08161	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417966714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM A WEVER D.D.S.

Provider Business Mailing Address
First Line	:	2075 WILLOW AVE
Second Line	:
City	:	AINSWORTH
State	:	IA
Zip	:	52201-9223
Country	:	US
Telephone Number	:	319-657-2919
Fax Number	:

Provider Business Practice Location Address
First Line	:	2201 COLUMBUS ST
Second Line	:
City	:	COLUMBUS CITY
State	:	IA
Zip	:	52737-9000
Country	:	US
Telephone Number	:	319-728-8100
Fax Number	:	319-728-8109

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

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	04/16/2024

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Directions to “ WILLIAM A WEVER D.D.S.” Practice Location

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