Individual provider · Type 1 NPI
Russell Everette Weaver, DDS
Periodontics · Citrus Heights, CA
NPI number
1003917204
Active
Practice location
8035 Madison Ave, Suite E-4
Citrus Heights, CA 95610-7949
Fax (916) 965-3524
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 28256 (CA) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Another provider at this address
Other periodontics providers in Citrus Heights
About NPI 1003917204
Russell Everette Weaver, DDS's National Provider Identifier is 1003917204, issued on Sep 26, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Citrus Heights, CA. The record was last updated on Jun 24, 2015.