Organization
PHILLIP T WELLER DDS PLLC
Active
Other names
Hickory Periodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP TATE WELLER DDS (PERIODONTIST)
(435) 659-4336
Entity
Organization
Contact information
Practice address
3305 16TH AVE SE, STE 301, CONOVER, NC 28613
(435) 659-4336
Mailing address
3305 16TH AVE SE STE 301, CONOVER, NC 28613-9213
(828) 465-0187
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
07/02/2025
Last updated
07/17/2025
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