DR. JACK H WEAVER DDS
NPI 1043238389
Dentist - General Practice in Rapid City, SD

Active since July 17, 2006
3712 CANYON LAKE DR, RAPID CITY, SD 57702(605) 342-3939(605) 341-2766 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jack H Weaver Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK H WEAVER DDS (NPI 1043238389) is an individual general practice provider in Rapid City, South Dakota, licensed in South Dakota (M366) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1043238389
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JACK H WEAVERCredential: DDS
Location Address3712 CANYON LAKE DRRapid City, SD 57702-3198
Mailing Address4716 Guest RdRapid City, SD 57702-4815 · (605) 484-4484 · Fax (605) 341-2766
Fax(605) 341-2766
Sole ProprietorNo
Enumeration DateJuly 17, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1043238389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in SD · M366
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

3712 CANYON LAKE DR, Rapid City, SD 57702

Accepted Insurance

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Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Dentist (General Practice)
3712 CANYON LAKE DR
RAPID CITY, SD 57702
Dentist (General Practice)
3712 CANYON LAKE DR
RAPID CITY, SD 57702
Clinic/Center (Dental)
3712 CANYON LAKE DR
RAPID CITY, SD 57702
Dentist
3712 CANYON LAKE DR
RAPID CITY, SD 57702
Dental Hygienist
3712 CANYON LAKE DR
RAPID CITY, SD 57702

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043238389, enumerated as an "individual" on July 17, 2006.

The provider is located at 3712 CANYON LAKE DR RAPID CITY, SD 57702 and the phone number is (605) 342-3939.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Northeast Delta Dental. Please consult your insurance carrier or call the provider to verify.