Trevor Roy Weathers in Plantation - Oral And Maxillofacial Surgery
Trevor Roy Weathers - NPI 1417013640
Trevor Roy Weathers is a Oral And Maxillofacial Surgery in Plantation, Florida. Trevor Roy Weathers practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Trevor Roy Weathers is 1417013640. The last update date is 2007-07-08.
Trevor Roy Weathers's current location address is 4141 Nw 5th St, Plantation, Florida. You can contact this provider via phone number 9547911220 and fax number 9547910631. The mailing address for Trevor Roy Weathers is 4141 Nw 5th St, Plantation, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Trevor Roy Weathers |
|---|---|
| Address | 4141 Nw 5th St, Plantation, Florida |
| Phone Number | 9547911220 |
| Fax Number | 9547910631 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1417013640 |
|---|---|
| Provider Enumeration Date | 2006-12-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4141 Nw 5th St |
|---|---|
| City | Plantation |
| State | Florida (FL) |
| Post Code | 333172158 |
| Phone Number | 9547911220 |
| Fax Number | 9547910631 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | DN 11394 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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What is the unique 10-digit identifier code issued to Trevor Roy Weathers by the Centers for Medicare & Medicaid Services?
The Trevor Roy Weathers has been assigned the NPI (National Provider Identifier) 1417013640 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Trevor Roy Weathers?
The Trevor Roy Weathers is situated at 4141 Nw 5Th St, in the city of Plantation, state of FL, with the zip code 333172158.
What is Trevor Roy Weathers's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Trevor Roy Weathers's specialized field of practice is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 1223S0112X.
On what date did the Trevor Roy Weathers receive its 1417013640 assignment from the Centers for Medicare & Medicaid Services?
The Trevor Roy Weathers was assigned its 1417013640 by the Centers for Medicare & Medicaid Services on 2006-12-30.
As of what date were the Trevor Roy Weathers's details last updated?
The information pertaining to the Trevor Roy Weathers, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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