Provider Demographics
NPI:1285040188
Name:WEBER, ASHLEE (DDS, MS)
Entity Type:Individual
Prefix:
First Name:ASHLEE
Middle Name:
Last Name:WEBER
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7577 NW BARRY RD STE A
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64153-1789
Mailing Address - Country:US
Mailing Address - Phone:816-746-1200
Mailing Address - Fax:816-746-8937
Practice Address - Street 1:7577 NW BARRY RD STE A
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64153-1789
Practice Address - Country:US
Practice Address - Phone:816-746-1200
Practice Address - Fax:816-746-8937
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-11
Last Update Date:2014-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20100161701223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics