Individual provider · Type 1 NPI

Trevor Roy Weathers, DDS

Oral and Maxillofacial Surgery (Dentist) · Plantation, FL

NPI number 1417013640 Active

Practice location

4141 NW 5th St, Suite 102
Plantation, FL 33317-2158

Fax (954) 791-0631

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDN 11394 (FL)

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 1417013640

Trevor Roy Weathers, DDS's National Provider Identifier is 1417013640, issued on Dec 30, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Plantation, FL. The record was last updated on Jul 8, 2007.