Individual provider · Type 1 NPI
William Wofford Weller, DDS
General Practice Dentistry · Jacksonville, IL
NPI number
1245304062
Active
Practice location
1614 W Lafayette Ave
Jacksonville, IL 62650-1000
Fax (217) 245-7906
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | 4113 (AZ) |
| General Practice Dentistry | 1223G0001X | 17459 (TX) |
| General Practice Dentistry Primary | 1223G0001X | None listed |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1245304062
William Wofford Weller, DDS's National Provider Identifier is 1245304062, issued on Nov 20, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Jacksonville, IL. The record was last updated on Jul 8, 2007.