G. Wendell Weathers, D.d.s., P.c.

NPI #1629237615 in Sikeston, Missouri

Provider Information

NPI Number: 1629237615
Entity Type: Organization
Organization Name: G. Wendell Weathers, D.d.s., P.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 4, 2008
Last Updated: Jun 4, 2008

Practice Location

Address: 405 TANNER ST
City: Sikeston
State: Missouri
ZIP Code: 63801-4272
Phone: (573) 471-5155

Authorized Official

Name: DR. GRANT WENDELL WEATHERS JR., D.D.S.
Title: PRESIDENT
Phone: (573) 471-5155

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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