Judson K Weaver is a Dentist in Ellensburg, Washington. Judson K Weaver practices all healthcare services and medical treatments related to Dentist. The NPI Number for Judson K Weaver is 1477620839. The last update date is 2007-07-08.
Judson K Weaver's current location address is 313 N Sprague, Ellensburg, Washington. You can contact this provider via phone number 5099259202 and fax number 5099621316. The mailing address for Judson K Weaver is 313 N Sprague, Ellensburg, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judson K Weaver |
|---|---|
| Address | 313 N Sprague, Ellensburg, Washington |
| Phone Number | 5099259202 |
| Fax Number | 5099621316 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1477620839 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 313 N Sprague |
|---|---|
| City | Ellensburg |
| State | Washington (WA) |
| Post Code | 98926 |
| Phone Number | 5099259202 |
| Fax Number | 5099621316 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 9631 |
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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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What is the unique identifier code issued to Judson K Weaver by the Centers for Medicare & Medicaid Services?
The Judson K Weaver has been assigned the NPI (National Provider Identifier) 1477620839. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Judson K Weaver?
The Judson K Weaver is situated at 313 N Sprague, in the city of Ellensburg, state of WA, with the zip code 98926.
What is Judson K Weaver's specialized field of practice, and what is the corresponding taxonomy classification code?
The Judson K Weaver's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1477620839 to Judson K Weaver?
The Centers for Medicare & Medicaid Services assigned the 1477620839 to Judson K Weaver on 2006-11-29.
When was the Judson K Weaver's information last updated?
The Judson K Weaver's information was last updated on 2007-07-08.
NPI Number: 1245233907
Address: 1150 N Watters Rd, Allen, TX