DR. TIMOTHY JAY WEAVER DDS
NPI 1487767497
Dentist - Oral and Maxillofacial Surgery in Edmonds, WA

Active since August 16, 2006
21701 76TH AVE W, 202, EDMONDS, WA 98026(425) 744-1724(425) 744-1726 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Timothy Jay Weaver Dds NPPES

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

DR. TIMOTHY JAY WEAVER DDS (NPI 1487767497) is an individual oral and maxillofacial surgery provider in Edmonds, Washington, licensed in Washington (DE00006724) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1487767497
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. TIMOTHY JAY WEAVERCredential: DDS
Location Address21701 76TH AVE W, 202Edmonds, WA 98026-7536
Mailing Address21701 76th Ave W, 202Edmonds, WA 98026-7536 · (425) 744-1724 · Fax (425) 744-1726
Fax(425) 744-1726
Sole ProprietorYes
Enumeration DateAugust 16, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1487767497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in WA · DE00006724
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
21701 76TH AVE W, Edmonds, WA 98026

Other Identifiers 1

Medicare UPINU37729WA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
21701 76TH AVE W, STE 104 B
EDMONDS, WA 98026
Dentist (Oral and Maxillofacial Surgery)
21701 76TH AVE W, SUITE 202
EDMONDS, WA 98026
Dentist (Oral and Maxillofacial Surgery)
21701 76TH AVE W, SUITE 202
EDMONDS, WA 98026
Dentist (Oral and Maxillofacial Surgery)
21701 76TH AVE W, SUITE #202
EDMONDS, WA 98026
Dermatology
21701 76TH AVE W, SUITE 100
EDMONDS, WA 98026
Nurse Practitioner (Family)
21701 76TH AVE W, SUITE 203
EDMONDS, WA 98026
Clinic/Center (Federally Qualified Health Center (FQHC))
21701 76TH AVE W, SUITE 300
EDMONDS, WA 98026
Community/Behavioral Health
21701 76TH AVE W, SUITE 302
EDMONDS, WA 98026

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Weaver's NPI number?

The NPI number for Timothy Weaver is 1487767497. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Timothy Weaver located?

Timothy Weaver practices at 21701 76th Ave W 202, Edmonds, WA 98026. The listed phone number is (425) 744-1724.

What is Timothy Weaver's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Timothy Weaver was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.