| Organization Name: | KURT K. WEBER, D.D.S., P.A. |
| NPI Number: | 1568595130 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KURT KENTON WEBER (PRESIDENT) |
| Mailing Address: | 1012 W Dr Martin Luther King Jr Blvd Seffner |
| State: | FL US |
| Postal Code: | 335844572 |
| Phone Number: | 8136899100 |
| Fax Number: | 8136534990 |
| NPI Enumeration Date: | 03/13/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 10991 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |