Individual provider · Type 1 NPI

Charles Wendell Weathers, DDS, MSD

Orthodontics and Dentofacial Orthopedics Dentistry · Waco, TX

NPI number 1114935814 Active

Practice location

5016 Lakeland Cir Ste A
Waco, TX 76710-2984

Fax (254) 776-0459

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	13151 (TX)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1114935814

Charles Wendell Weathers, DDS, MSD's National Provider Identifier is 1114935814, issued on Aug 4, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Waco, TX. The record was last updated on Jul 8, 2007.