Organization
WEAVER ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLIN WEAVER DMD (OWNER)
(781) 581-1550
Entity
Organization
Contact information
Practice address
230 SALEM ST, SWAMPSCOTT, MA 01907-1306
(781) 581-1550
Mailing address
230 SALEM ST, SWAMPSCOTT, MA 01907-1306
(781) 581-1550
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN1856790
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679902613
NPI TYPE 1
MA
Enumeration date
10/06/2017
Last updated
10/06/2017
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