Organization
WEAVER ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IAN MONTGOMERY WEAVER DDS (ORTHODONTIST)
(304) 541-2284
Entity
Organization
Contact information
Practice address
127 FAIRWAY DR APT 2, CORBIN, KY 40701-9602
(304) 541-2284
Mailing address
127 FAIRWAY DR APT 2, CORBIN, KY 40701-9602
(304) 541-2284
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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