Michael Don Weaver, DDS

Dentist · Lone Grove, OK

Individual Active NPI

NPI number 1104978428

Practice location

16931 Hwy 70
Lone Grove, OK 73443-1270
Phone
(580) 657-3117
Fax
(580) 657-8081

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NPI record

NPI
1104978428
Entity type
Individual (Type 1)
Enumeration date
January 17, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 4275 OK

Mailing address

PO Box 1270
16931 Hwy 70
Lone Grove, OK 73443-1270
Phone
(580) 657-3117
Fax
(580) 657-8081

About Dr. Weaver

Michael Don Weaver, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 16931 Hwy 70, Lone Grove, OK 73443-1270. The NPI number 1104978428 was assigned on January 17, 2007 and the record was last updated on July 8, 2007.

Dr. Weaver lists a license in the registry: #4275 (OK) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Don Weaver, DDS?

The NPI number is 1104978428.

What is the phone number of Dr. Weaver?

The phone number listed for the practice location is (580) 657-3117.

Where is Dr. Weaver located?

16931 Hwy 70, Lone Grove, OK 73443-1270.

What is the taxonomy code for Dr. Weaver?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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