Dr. Gordon Scott Weaver
Oral and Maxillofacial Surgeon
869 Oakwood Rd
Charleston
, West Virginia 25314-2057
Dr. Gordon Scott Weaver
Oral and Maxillofacial Surgeon
869 Oakwood Rd
Charleston
, West Virginia 25314-2057
(304) 343-5161
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Gordon Scott Weaver
- 869 Oakwood Rd
- Charleston, WV
- Zip : 25314-2057
- Phone : (304) 343-5161
Second Address
- Dr. Gordon Scott Weaver
- 869 Oakwood Rd
- Charleston, WV
- Zip : 25314-2057
- Phone : (304) 343-5161
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 2677 | WV |
National Provider Identifier
| NPI | 1114930062 |
|---|---|
| Provider Name | Dr. Gordon Scott Weaver |
| First Address | Charleston, WV 25314-2057 |
| Second Address | Charleston, WV 25314-2057 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/08/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.