| Michael D Weaver Dds Pc | |
|
16931 Us Hwy 70 Lone Grove OK 73443-1270 | |
| (580) 657-3117 | |
| (580) 657-8081 |
| Full Name | Michael D Weaver Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 16931 Us Hwy 70, Lone Grove, Oklahoma |
| Authorized Official Name and Position | Michael Don Weaver (PRES DDS) |
| Authorized Official Contact | 5806573117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael D Weaver Dds Pc Po Box 1270 Lone Grove OK 73443-1270 Ph: () - | Michael D Weaver Dds Pc 16931 Us Hwy 70 Lone Grove OK 73443-1270 Ph: (580) 657-3117 |
| NPI Number | 1548427776 |
|---|---|
| Provider Enumeration Date | 05/16/2008 |
| Last Update Date | 05/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548427776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4275 (Oklahoma) | Primary |
Lone Grove Dentistry & Braces Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 16931 Us Highway 70, Lone Grove, OK 73443 Phone: 580-657-3117 |