DR. Gordon Scott Weaver, DDS
NPI #1114930062 in Charleston, West Virginia
Provider Information
- NPI Number
- 1114930062
- Entity Type
- Individual
- Name
- DR. Gordon Scott Weaver, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Credential
- DDS
- Enumeration Date
- Aug 14, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 869 OAKWOOD RD
- City
- Charleston
- State
- West Virginia
- ZIP Code
- 25314-2057
- Phone
- (304) 343-5161
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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