Timothy Jay Weaver in Edmonds - Oral And Maxillofacial Surgery
Timothy Jay Weaver - NPI 1487767497
Timothy Jay Weaver is a Oral And Maxillofacial Surgery in Edmonds, Washington. Timothy Jay Weaver practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Timothy Jay Weaver is 1487767497. The last update date is 2007-07-08.
Timothy Jay Weaver's current location address is 21701 76th Ave W, Edmonds, Washington. You can contact this provider via phone number 4257441724 and fax number 4257441726. The mailing address for Timothy Jay Weaver is 21701 76th Ave W, Edmonds, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Jay Weaver |
|---|---|
| Address | 21701 76th Ave W, Edmonds, Washington |
| Phone Number | 4257441724 |
| Fax Number | 4257441726 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1487767497 |
|---|---|
| Provider Enumeration Date | 2006-08-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 21701 76th Ave W |
|---|---|
| City | Edmonds |
| State | Washington (WA) |
| Post Code | 980267536 |
| Phone Number | 4257441724 |
| Fax Number | 4257441726 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | DE00006724 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Timothy Jay Weaver by the Centers for Medicare & Medicaid Services?
The Timothy Jay Weaver has been issued the NPI (National Provider Identifier) 1487767497, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Timothy Jay Weaver?
The Timothy Jay Weaver is physically situated at 21701 76Th Ave W, in the city of Edmonds, state of WA, with the postal code 980267536.
What is the area of specialization for Timothy Jay Weaver, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Timothy Jay Weaver is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 1223S0112X.
On what date did the Timothy Jay Weaver receive its 1487767497 assignment from the Centers for Medicare & Medicaid Services?
The Timothy Jay Weaver was assigned its 1487767497 by the Centers for Medicare & Medicaid Services on 2006-08-16.
As of what date were the details related to Timothy Jay Weaver most recently updated or revised?
The information pertaining to Timothy Jay Weaver, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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