| G. Wendell Weathers, D.d.s., P.c. | |
|
405 Tanner St Sikeston MO 63801-4272 | |
| (573) 471-5155 | |
| Not Available |
| Full Name | G. Wendell Weathers, D.d.s., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 405 Tanner St, Sikeston, Missouri |
| Authorized Official Name and Position | Grant Wendell Weathers (PRESIDENT) |
| Authorized Official Contact | 5734715155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| G. Wendell Weathers, D.d.s., P.c. 405 Tanner St Sikeston MO 63801-4272 Ph: (573) 471-5155 | G. Wendell Weathers, D.d.s., P.c. 405 Tanner St Sikeston MO 63801-4272 Ph: (573) 471-5155 |
| NPI Number | 1629237615 |
|---|---|
| Provider Enumeration Date | 06/04/2008 |
| Last Update Date | 06/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629237615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 14998 (Missouri) | Primary |
Sikeston Dental Center Dental Clinic Medicare: Medicare Enrolled Practice Location: 220 Southland Dr, Sikeston, MO 63801 Phone: 573-471-4167 Fax: 573-471-4212 | |
Priggel Family Dentistry Dmd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 Tanner St, Priggel Family Dentistry Dmd Llc, Sikeston, MO 63801 Phone: 573-472-3032 Fax: 573-472-3382 |