Provider Demographics
NPI:1073954566
Name:WEISHAAR, KARA LYNN (DDS)
Entity Type:Individual
Prefix:DR
First Name:KARA
Middle Name:LYNN
Last Name:WEISHAAR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 HIGH AVE E
Mailing Address - Street 2:
Mailing Address - City:OSKALOOSA
Mailing Address - State:IA
Mailing Address - Zip Code:52577-2831
Mailing Address - Country:US
Mailing Address - Phone:641-673-3008
Mailing Address - Fax:
Practice Address - Street 1:107 HIGH AVE E
Practice Address - Street 2:
Practice Address - City:OSKALOOSA
Practice Address - State:IA
Practice Address - Zip Code:52577-2831
Practice Address - Country:US
Practice Address - Phone:641-673-3008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-11
Last Update Date:2013-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA09018122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist