Kelly Weaver is a Blackfoot, Idaho based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Kelly Weaver is D4298 for Dentistry in Idaho. His current practice location is 310 W Idaho St, Blackfoot. Patients can reach him at 208-785-2255.
Kelly Weaver is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Kelly Weaver speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Kelly Weaver
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
310 W Idaho St, Blackfoot, Idaho, 83221-1710
Phone:
208-785-2255
Fax:
208-785-2275
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1578884235
NPI Enumeration Date:
17 Jun, 2010
NPI Last Update On:
08 Mar, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kelly Weaver are as mentioned below.
License Number
Specialization
State
Status
D4298
Dentistry
Idaho
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 248, Blackfoot, Idaho
Zip:
83221-0248
Phone Number:
208-785-2255
Fax Number:
208-785-2275
Patients can reach Kelly Weaver at 310 W Idaho St, Blackfoot, Idaho or can call to book an appointment on 208-785-2255. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.