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Contact Information

LESLEY L WEIDERT, DDS
149 YADKIN VALLEY RD
SUITE 101
ADVANCE, NC27006
 Phone: 336-998-1076
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for LESLEY L WEIDERT · (Female)

NPI # 1144719352
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 05/02/2018
Last updated 11/15/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • ME License # DEN4908
  • NC License # 13612
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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