William Wofford Weller, DDS

General Practice Dentistry · Jacksonville, IL

Individual Active NPI

NPI number 1245304062

Practice location

1614 W Lafayette Ave
Jacksonville, IL 62650-1000
Phone
(817) 245-4516
Fax
(217) 245-7906

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NPI record

NPI
1245304062
Entity type
Individual (Type 1)
Enumeration date
November 20, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X — IL
General Practice Dentistry 1223G0001X 4113 AZ
General Practice Dentistry 1223G0001X 17459 TX

About Dr. Weller

William Wofford Weller, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1614 W Lafayette Ave, Jacksonville, IL 62650-1000. The NPI number 1245304062 was assigned on November 20, 2006 and the record was last updated on July 8, 2007.

Dr. Weller lists 2 licenses in the registry: #4113 (AZ) for General Practice Dentistry; #17459 (TX) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of William Wofford Weller, DDS?

The NPI number is 1245304062.

What is the phone number of Dr. Weller?

The phone number listed for the practice location is (817) 245-4516.

Where is Dr. Weller located?

1614 W Lafayette Ave, Jacksonville, IL 62650-1000.

What is the taxonomy code for Dr. Weller?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 2 more listed above.

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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