IndividualActive
Jennifer Weydert, DDS
NPI 1639239403 · General Practice Dentistry · Lake Elmo, MN
Jennifer Weydert, DDS is a General Practice Dentistry provider in Lake Elmo, MN (NPI 1639239403).
Provider details
- NPI number
- 1639239403
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- D12179 (MN)
Practice location
8980 Hudson Blvd N
Lake Elmo, MN 55042-9704
Phone: (651) 735-9057
Fax: (651) 501-1471
Street-level locationGet directions
Mailing address
2900 Thomas Ave S
Minneapolis, MN 55416-4477
Registry dates
- Enumerated
- 2006-12-11
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.