P Praxis·MD
● Active Type 1 · Individual

DR. Jessica Lucille Weaver, DMD

Dentist·Jbsa Lackland, TX· NPI 1750401543 · Enumerated 2007 · 19 years on NPI
Weaver is 1 of 34 dentist providers in Jbsa Lackland and 1 of 15661 in Texas.
NPI age
19 years
Enumerated 2007-03-29
Primary specialty
Dentist
Plus 2 subspecialties
Licensed in
FL
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-10-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 15661 active dentist providers in Texas.

NPI age
19 years
↑ 5 yr above median (14 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
1
In the 13% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-03Enumerated in NPPES
2007 2026

Where they practice

Practice location
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 782365638
📞 2102920720
Mailing address
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 782365638
📞 2102920720

Specialties

  • Dentist Primary
    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.
    FL license #DN15076 taxonomy 1223G0001X
  • Dentist
    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...
    FL license #DN15076FL license #D15076 taxonomy 122300000X

Practice context

Part of a multi-provider practice. 307 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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