DR. LAWRENCE W WEEDA JR.


Address: 875 Union Ave, Room N-328, Memphis, TN 38163-0001
Phone: 9014486236

DR. LAWRENCE W WEEDA JR. (NPI# 1366430647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366430647
Entity Type Individual
Full Name DR. LAWRENCE W WEEDA JR.
Credential DDS
Practice Address 875 Union Ave
Room N-328
Memphis
TN 38163-0001
Practice Telephone 9014486236
Practice Fax Number 9014485480
Mailing Telephone 9014486236
Mailing Fax Number 9014485480
Enumeration Date 2005-10-11
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
DS7441 TN Dental Providers

Office Location

Street Address 875 UNION AVE
ROOM N-328
City MEMPHIS
State TN
Zip Code 38163-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750907200 Meghan Gahm Student in an Organized Health Care Education/Training Program 875 Union Ave, Memphis, TN 38103-3513 2020-06-21
1134768617 Deborah Kay Rose Dental Hygienist 875 Union Ave, Memphis, TN 38103-3513 2019-12-31
1982249769 Leila Marie Sears Dentist 875 Union Ave, Memphis, TN 38103-3513 2019-11-15
1124680632 Anna Claire Eaton Dentist 875 Union Ave, Memphis, TN 38103-3513 2019-07-03
1164080867 Bryce James Lamer Dentist 875 Union Ave, Memphis, TN 38103-3513 2019-05-29
1699240879 Brian Ashford Brodine Dentist 875 Union Ave, Memphis, TN 38103-3513 2018-10-03
1609351832 Jared Moffett Dentist 875 Union Ave, Memphis, TN 38103-3513 2018-10-03
1437648045 Jill Emily Gibson Student in an Organized Health Care Education/Training Program 875 Union Ave, Memphis, TN 38103-3513 2018-05-09
1093244972 David Rua Perez Student in an Organized Health Care Education/Training Program 875 Union Ave, Memphis, TN 38103-3513 2017-06-05
1396299830 Angela Gullard Dentist 875 Union Ave, Advanced Prosthodontics Program, Memphis, TN 38103-3513 2016-08-13
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801367537 Stacie Nicole Yocom Pediatrics 853 Jefferson Ave Route E206, Memphis, TN 38163 2018-12-06
1639651052 Angela Renae Haynes Dental Hygienist 875 Union Ave Dunn Dental Bldg C 517, Memphis, TN 38163 2018-09-01
1700362613 Ibrahim Ortanca Student in an Organized Health Care Education/Training Program University of Tennessee 920 Madison Avenue, Suite 447 - Office of Graduate Medical Education, Memphis, TN 38163 2018-07-13
1619469103 Julia Christine Cook Student in an Organized Health Care Education/Training Program University of Tennesee, 920 Madison Ave, Suite 447, Memphis, TN 38163 2018-05-31
1104359058 Malik Fakhar Student in an Organized Health Care Education/Training Program 960 Madison Ave, 447, Memphis, TN 38163 2017-04-07
1215319322 Yousef Abdel-aziz Student in an Organized Health Care Education/Training Program 956 Court Avenue Suite G310b, Memphis, TN 38163 2015-06-25
1770963746 Ayman Al Dayeh Dentist 875 Union Ave, S312, Department of Orthodontics, Memphis, TN 38163 2015-06-04
1952789430 Mark Iltis Student in an Organized Health Care Education/Training Program 910 Madison Ave, University of Tennessee, 1031, Memphis, TN 38163 2015-05-15
1700129780 Mohammad Elballat Student in an Organized Health Care Education/Training Program 956 Court Ave Suite H314a, Memphis, TN 38163 2013-03-28
1932468204 Evan Neal Paul Student in an Organized Health Care Education/Training Program 910 Madison Avenue, Suite 1031, Memphis, TN 38163 2012-05-08
Find all providers in zip 38163

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376939645 Matthew Breit Dentist 1251 Wesley Dr Ste 101, Memphis, TN 38116-6442 2015-04-13
1376962613 John Christopher Swearingen Dentist 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 2014-04-15
1427471382 Oral & Maxillofacial Surgery Clinic Inc. Dentist 910 Madison Ave Ste 710, Memphis, TN 38103-3453 2014-01-29
1225132590 Harris E Williams Dentist 6621 Kirby Center Cv, Memphis, TN 38115-4313 2006-09-08
1225143720 John Shrader Cannon Dentist 1661 Aaron Brenner Dr Ste 105, Memphis, TN 38120-1467 2006-08-21
1356305569 James M. Christian Dentist 875 Union Avenue, The University of Tennessee, Memphis, TN 38133-3513 2006-04-14
1447231253 Joseph Lawrence Mcrae Dentist 5565 Murray Rd, Memphis, TN 38119-3879 2005-11-09
1891785655 Richard D Meekins Jr. Dentist 1251 Wesley Dr, 101, Memphis, TN 38116-6442 2005-10-24
1013905165 Isaac Fordjour Dentist 910 Madison Ave, Suite 710, Memphis, TN 38103-3403 2005-10-12
1194717256 Gilbert G Stein Dentist 1715 Kirby Pkwy, Suite 101, Memphis, TN 38120-4320 2005-08-16
Find all providers in MEMPHIS

Competitor

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City MEMPHIS
Zip Code 38163

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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