Provider Demographics
NPI:1497860613
Name:WEMMER, DAVID F (DDS)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:F
Last Name:WEMMER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2025 HWY 441 NORTH
Mailing Address - Street 2:
Mailing Address - City:OKEECHOBEE
Mailing Address - State:FL
Mailing Address - Zip Code:34972
Mailing Address - Country:US
Mailing Address - Phone:863-467-2332
Mailing Address - Fax:863-467-2347
Practice Address - Street 1:2025 HWY 441 NORTH
Practice Address - Street 2:
Practice Address - City:OKEECHOBEE
Practice Address - State:FL
Practice Address - Zip Code:34972
Practice Address - Country:US
Practice Address - Phone:863-467-2332
Practice Address - Fax:863-467-2347
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN8779122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist