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Dr. Russell Everette Weaver, DDS
Periodontist in Citrus Heights, California
NPI 1003917204

Russell Everette Weaver is a Periodontist based in Citrus Heights, CA and is specialized in Periodontics. Russell Everette Weaver practices in Citrus Heights, CA and has the professional credentials of DDS. The NPI Number for Russell Everette Weaver is 1003917204 and holds a License No. 28256 (California).

The current practice location address for Russell Everette Weaver is 8035 Madison Ave, Citrus Heights, CA and can be reached out via phone at 916-965-1200 and via fax at 916-965-3524.

Location: 8035 Madison Ave, Citrus Heights, CA, 95610-7949
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003917204
Provider Name
Russell Everette Weaver
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
8035 Madison Ave, Citrus Heights, CA, 95610-7949
Phone Number
916-965-1200
Fax Number
916-965-3524
Provider Enumeration Date
09/26/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
8035 Madison Ave
City
Citrus Heights
State
California
Zip
95610-7949
Phone Number
916-965-1200
Fax Number
916-965-3524
person
Provider Business Mailing Address Details
Address
8035 Madison Ave
City
Citrus Heights
State
California
Zip
95610-7949
Phone Number
916-965-1200
Fax Number
916-965-3524
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
28256 (California)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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