Individual provider · Type 1 NPI

Lawrence W. Weeda Jr., DDS

Oral and Maxillofacial Surgery (Dentist) · Memphis, TN

NPI number 1366430647 Active

Practice location

875 Union Ave, Room N-328
Memphis, TN 38163-0001

Fax (901) 448-5480

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDS7441 (TN)

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 1366430647

Lawrence W. Weeda Jr., DDS's National Provider Identifier is 1366430647, issued on Oct 11, 2005. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Memphis, TN. The record was last updated on Jul 8, 2007.