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DR. SUSAN WELLER DMD
NPI 1740350529
Dentist in Jackson, IL

Active since November 08, 2006
1614 WEST LAFAYETTE AVENUE, JACKSON, IL 62650(217) 243-1114(217) 245-7906 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Susan Weller Dmd NPPES

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

DR. SUSAN WELLER DMD (NPI 1740350529) is an individual dentist in Jackson, Illinois, licensed in Illinois (01918328) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1740350529
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. SUSAN WELLERCredential: DMD
Location Address1614 WEST LAFAYETTE AVENUEJackson, IL 62650
Mailing Address1614 West Lafayette AvenueJackson, IL 62650 · (217) 243-1114 · Fax (217) 245-7906
Phone(217) 243-1114
Fax(217) 245-7906
Sole ProprietorNo
Enumeration DateNovember 8, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1740350529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 01918328
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1614 WEST LAFAYETTE AVENUE, Jackson, IL 62650
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Weller's NPI number?

The NPI number for Susan Weller is 1740350529. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Susan Weller located?

Susan Weller practices at 1614 West Lafayette Avenue, Jackson, IL 62650. The listed phone number is (217) 243-1114.

What is Susan Weller's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Susan Weller was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.