Provider Demographics
NPI:1033445838
Name:WEBER, ANNA H (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:H
Last Name:WEBER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 S 8TH ST
Mailing Address - Street 2:SUITE 1216
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-1279
Mailing Address - Country:US
Mailing Address - Phone:612-332-0559
Mailing Address - Fax:612-332-2554
Practice Address - Street 1:825 S 8TH ST
Practice Address - Street 2:SUITE 1216
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-1279
Practice Address - Country:US
Practice Address - Phone:612-332-0559
Practice Address - Fax:612-332-2554
Is Sole Proprietor?:No
Enumeration Date:2009-10-29
Last Update Date:2016-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN13191122300000X
NV58331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice