Provider Demographics
NPI:1922157221
Name:WEBBER, JOHN LLOYD (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:LLOYD
Last Name:WEBBER
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 1:6908 OFFICE PARK CIRCLE
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-1161
Mailing Address - Country:US
Mailing Address - Phone:865-584-3510
Mailing Address - Fax:865-584-3811
Practice Address - Street 1:6908 OFFICE PARK CIRCLE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37909-1161
Practice Address - Country:US
Practice Address - Phone:865-584-3510
Practice Address - Fax:865-584-3811
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS1889122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist