| Kelly Weaver, DDS | |
|
310 W Idaho St, Blackfoot, ID 83221-1710 | |
| (208) 785-2255 | |
| (208) 785-2275 |
| Full Name | Kelly Weaver |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 310 W Idaho St, Blackfoot, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578884235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D4298 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Weaver, DDS Po Box 248, Blackfoot, ID 83221-0248 Ph: (208) 785-2255 | Kelly Weaver, DDS 310 W Idaho St, Blackfoot, ID 83221-1710 Ph: (208) 785-2255 |
Dr. Dennis Scott Hatch, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1177 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-1360 Fax: 208-782-0105 | |
Dr. Damon Taylor Armstrong, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 625 W Pacific St Ste 4, Blackfoot, ID 83221 Phone: 208-785-3310 Fax: 208-785-3393 | |
Mr. Olav Jens Sorensen, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 621 Jensen Grove Dr, Blackfoot, ID 83221 Phone: 208-915-8419 | |
Dr. Charles Gordon Simpson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1180 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-0310 Fax: 208-785-0319 | |
Dr. Bradford William Harper, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1120 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-0878 | |
Peggy J Trebilcock, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2407 Teeples Dr, Blackfoot, ID 83221 Phone: 208-782-0242 Fax: 208-782-1160 |