DR. William Wofford Weller, DDS is a general practice dentist in Jacksonville, IL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. William Wofford Weller, DDS NPI is 1245304062. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1614 W LAFAYETTE AVE
JACKSONVILLE, IL
ZIP 62650-000
Phone: (817) 245-4516
Fax: (217) 245-7906
The NPI 1245304062 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 11/20/2006 and was last updated on 7/8/2007.