| Weaver Orthodontics PLLC | |
|
127 Fairway Dr Apt 2 Corbin KY 40701-9602 | |
| (304) 541-2284 | |
| Not Available |
| Full Name | Weaver Orthodontics PLLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 127 Fairway Dr Apt 2, Corbin, Kentucky |
| Authorized Official Name and Position | Ian Montgomery Weaver (ORTHODONTIST) |
| Authorized Official Contact | 3045412284 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Weaver Orthodontics PLLC 127 Fairway Dr Apt 2 Corbin KY 40701-9602 Ph: (304) 541-2284 | Weaver Orthodontics PLLC 127 Fairway Dr Apt 2 Corbin KY 40701-9602 Ph: (304) 541-2284 |
| NPI Number | 1851100127 |
|---|---|
| Provider Enumeration Date | 01/02/2025 |
| Last Update Date | 01/02/2025 |
| Certification Date | 01/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851100127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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