IndividualActive
Gordon Weaver, DDS
NPI 1114930062 · Oral and Maxillofacial Surgery (Dentist) · Charleston, WV
Provider details
- NPI number
- 1114930062
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 2677 (WV)
Specialties & taxonomies
Dental Providers
Practice location
869 Oakwood Rd
Charleston, WV 25314-2057
Phone: (304) 343-5161
Approximate (ZIP-level) locationGet directions
Mailing address
869 Oakwood Rd
Charleston, WV 25314-2057
Registry dates
- Enumerated
- 2006-08-14
- 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.