Individual provider · Type 1 NPI

Gordon Scott Weaver, DDS

Oral and Maxillofacial Surgery (Dentist) · Charleston, WV

NPI number 1114930062 Active

Practice location

869 Oakwood Rd
Charleston, WV 25314-2057

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X2677 (WV)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1114930062

Gordon Scott Weaver, DDS's National Provider Identifier is 1114930062, issued on Aug 14, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Charleston, WV. The record was last updated on Jul 8, 2007.