Organization
DR. JOHN K. WEAVER DMD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN K WEAVER DMD, PLLC (DENTIST)
(859) 252-0314
Entity
Organization
Contact information
Practice address
540 E MAIN ST, LEXINGTON, KY 40508-2328
(859) 252-0314
(859) 252-0734
Mailing address
540 E MAIN ST, LEXINGTON, KY 40508-2328
(859) 252-0314
(859) 252-0734
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9678
KY
Other
Enumeration date
03/31/2017
Last updated
03/31/2017
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