Michael Don Weaver, DDS
Dentist in Lone Grove, OK. Individual provider (NPI-1).
NPI number1104978428
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1104978428
- Entity type
- Individual (NPI-1)
- Name
- Mr. Michael Don Weaver
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 17, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 4275 | OK | Yes |
Practice location
16931 Hwy 70Lone Grove, OK 73443-1270
Phone 580-657-3117 · Fax 580-657-8081
Mailing address
Po Box 127016931 Hwy 70
Lone Grove, OK 73443-1270
Phone 580-657-3117 · Fax 580-657-8081
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Dentist providers in Lone Grove, OK
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.