Stephen Gregory Weatherly in Marshall - Dentist

Stephen Gregory Weatherly - NPI 1306877550

Stephen Gregory Weatherly is a Dentist in Marshall, Michigan. Stephen Gregory Weatherly practices all healthcare services and medical treatments related to Dentist. The NPI Number for Stephen Gregory Weatherly is 1306877550. The last update date is 2007-07-08.

Stephen Gregory Weatherly's current location address is 111 North Jefferson Street, Marshall, Michigan. You can contact this provider via phone number 2697817531. The mailing address for Stephen Gregory Weatherly is 111 North Jefferson Street, Marshall, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen Gregory Weatherly
Address 111 North Jefferson Street, Marshall, Michigan
Phone Number 2697817531
Fax Number
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1306877550
Provider Enumeration Date 2006-07-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 111 North Jefferson Street
City Marshall
State Michigan (MI)
Post Code 490681553
Phone Number 2697817531
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 2901014165
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Stephen Gregory Weatherly

What is the Stephen Gregory Weatherly's unique identification number?

The Stephen Gregory Weatherly has been assigned the NPI (National Provider Identifier) Number 1306877550 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Stephen Gregory Weatherly's physical address?

The Stephen Gregory Weatherly is physically located at 111 North Jefferson Street, in the city of Marshall, MI, with the postal code 490681553.

What is Stephen Gregory Weatherly's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Stephen Gregory Weatherly is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1306877550 to Stephen Gregory Weatherly?

The Centers for Medicare & Medicaid Services assigned the 1306877550 to Stephen Gregory Weatherly on 2006-07-05.

When was the information pertaining to Stephen Gregory Weatherly most recently updated or revised?

The details related to Stephen Gregory Weatherly, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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