Stephen Gregory Weatherly, DDS

Dentist · Marshall, MI

Individual Active NPI

NPI number 1306877550

Practice location

111 North Jefferson Street
Suite 4
Marshall, MI 49068-1553
Phone
(269) 781-7531

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NPI record

NPI
1306877550
Entity type
Individual (Type 1)
Enumeration date
July 5, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 2901014165 MI

Mailing address

15126 Walters Drive
Marshall, MI 49068-9606
Phone
(269) 781-6491

About Dr. Weatherly

Stephen Gregory Weatherly, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 111 North Jefferson Street, Suite 4, Marshall, MI 49068-1553. The NPI number 1306877550 was assigned on July 5, 2006 and the record was last updated on July 8, 2007.

Dr. Weatherly lists a license in the registry: #2901014165 (MI) 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 Stephen Gregory Weatherly, DDS?

The NPI number is 1306877550.

What is the phone number of Dr. Weatherly?

The phone number listed for the practice location is (269) 781-7531.

Where is Dr. Weatherly located?

111 North Jefferson Street, Suite 4, Marshall, MI 49068-1553.

What is the taxonomy code for Dr. Weatherly?

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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