IndividualActive
Michael Weaver, DDS
NPI 1104978428 · Dentist · Lone Grove, OK
Provider details
- NPI number
- 1104978428
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 4275 (OK)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
16931 Hwy 70
Lone Grove, OK 73443-1270
Phone: (580) 657-3117
Fax: (580) 657-8081
Street-level locationGet directions
Mailing address
Po Box 1270
Lone Grove, OK 73443-1270
Registry dates
- Enumerated
- 2007-01-17
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.