Individual provider · Type 1 NPI

Mark S. Weaver, DDS

Pediatric Dentistry · Austin, TX

NPI number 1124138755 Active

Practice location

4638 Westgate Blvd
Austin, TX 78745-1461

Fax (512) 892-2002

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X10751 (TX)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1124138755

Mark S. Weaver, DDS's National Provider Identifier is 1124138755, issued on Aug 30, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Austin, TX. The record was last updated on Jul 8, 2007.