PHILLIP T WELLER DDS PLLC
NPI 1407745599
Dentist - Periodontics in Conover, NC

Active since July 02, 2025
3305 16TH AVE SE, STE 301, CONOVER, NC 28613(435) 659-4336 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Phillip T Weller Dds Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILLIP T WELLER DDS PLLC (NPI 1407745599), doing business as Hickory Periodontics, is a healthcare organization registered as a periodontics in Conover, North Carolina and active in the NPI registry since July 2025. The organization lists Phillip Tate Weller, Periodontist, as its authorized official.

NPPES Registry Identity

NPI1407745599
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NamePHILLIP T WELLER DDS PLLC
Location Address3305 16TH AVE SE, STE 301Conover, NC 28613
Mailing Address3305 16th Ave Se Ste 301Conover, NC 28613-9213 · (828) 465-0187
Organization SubpartNo
Authorized OfficialPhillip Tate WellerPeriodontist · (435) 659-4336
Enumeration DateJuly 2, 2025
Last NPPES UpdateJuly 17, 2025
NPPES CertifiedJuly 17, 2025
NPI 1407745599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
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.

3305 16TH AVE SE, Conover, NC 28613

Other Names 1

Doing Business AsHickory Periodontics

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Day Training, Developmentally Disabled Services
3305 16TH AVE SE, SUITE 207A
CONOVER, NC 28613
Community Based Residential Treatment Facility, Mental Illness
3305 16TH AVE SE
CONOVER, NC 28613
Prosthetic/Orthotic Supplier
3305 16TH AVE SE, SUITE 101
CONOVER, NC 28613
Prosthetist
3305 16TH AVE SE, SUITE 101
CONOVER, NC 28613
Prosthetist
3305 16TH AVE SE, SUITE 101
CONOVER, NC 28613
Dentist (Periodontics)
3305 16TH AVE SE
CONOVER, NC 28613

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407745599, enumerated as an "organization" on July 02, 2025.

The provider is located at 3305 16TH AVE SE STE 301 CONOVER, NC 28613 and the phone number is (435) 659-4336.

Dentist with taxonomy code 1223P0300X and a focus in Periodontics.