Individual provider · Type 1 NPI

Russell Martin Weaver, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Southern Pines, NC

NPI number 1508842816 Active

Practice location

10564 S US Highway 15 501 Ste D
Southern Pines, NC 28387

Other practice locations

  • 2997 Hope Mills Rd Ste C, Fayetteville, NC 28306-8349 · (910) 493-3780

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X0401410877 (VA)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X11259 (NC)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1508842816

Russell Martin Weaver, DDS's National Provider Identifier is 1508842816, issued on Dec 19, 2005. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Southern Pines, NC. The record was last updated on Mar 7, 2023.