Individual
DR. IAN MONTGOMERY WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
451 SUNCREST TOWN CENTRE DR, MORGANTOWN, WV 26505-1814
(304) 541-2284
Mailing address
31 CHERRY WOOD DR, MORGANTOWN, WV 26508-4237
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4468
WV
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
10909
KY
Other
Enumeration date
10/13/2021
Last updated
05/09/2023
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