Individual
DR. MICHAEL GREY WEATHERSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS MDS
Contact information
Practice address
2175 CHAMBLISS AVE NW STE A, CLEVELAND, TN 37311-3842
(423) 476-7561
Mailing address
2175 CHAMBLISS AVE NW STE A, CLEVELAND, TN 37311-3842
(423) 476-7561
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8131
TN
Other
Enumeration date
12/15/2006
Last updated
10/23/2009
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