IndividualActive
Adam Weaver, DDS
NPI 1669787974 · Dentist · Ava, MO
Provider details
- NPI number
- 1669787974
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2023015375 (MO)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
504 W. Broadway
Ava, MO 65608
Phone: (417) 683-5739
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1359
Ava, MO 65608-1359
Registry dates
- Enumerated
- 2010-08-11
- Last updated
- 2024-07-30
- Certified
- 2024-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.