Individual provider · Type 1 NPI

Kelly Weaver, DDS

Dentist · Blackfoot, ID

NPI number 1578884235 Active

Practice location

310 W Idaho St
Blackfoot, ID 83221-1710

Fax (208) 785-2275

Mailing address

PO Box 248
Blackfoot, ID 83221-0248

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XD4298 (ID)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1578884235

Kelly Weaver, DDS's National Provider Identifier is 1578884235, issued on Jun 17, 2010. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Blackfoot, ID. The record was last updated on Mar 8, 2024.