Individual provider · Type 1 NPI

Timothy Jay Weaver, DDS

Oral and Maxillofacial Surgery (Dentist) · Edmonds, WA

NPI number 1487767497 Active

Practice location

21701 76th Ave W, 202
Edmonds, WA 98026-7536

Call (425) 744-1724 Map

Fax (425) 744-1726

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDE00006724 (WA)

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 1487767497

Timothy Jay Weaver, DDS's National Provider Identifier is 1487767497, issued on Aug 16, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Edmonds, WA. The record was last updated on Jul 8, 2007.