Weaver, Gordon Scott

Weaver, Gordon Scott is an individual health care provider with primary practice located at 869 Oakwood Rd , Charleston WV 25314-2057. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Weaver, Gordon Scott can be contacted via phone (304) 343-5161.

Contact Information

Primary practice address
869 Oakwood Rd Charleston WV 25314-2057
Phone: (304) 343-5161
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 2677 West Virginia

Profile Details

NPI number 1114930062
LBN Legal business name Weaver, Gordon Scott
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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