Provider Demographics
NPI:1932892205
Name:WEVER, TREVOR JAMES (DMD)
Entity type:Individual
Prefix:DR
First Name:TREVOR
Middle Name:JAMES
Last Name:WEVER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 SHILOH CROSSING BLVD
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-7372
Mailing Address - Country:US
Mailing Address - Phone:406-248-6177
Mailing Address - Fax:
Practice Address - Street 1:1002 SHILOH CROSSING BLVD
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-7372
Practice Address - Country:US
Practice Address - Phone:406-248-6177
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-01
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MTDEN-DEN-LIC-28438122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program