Phillip T Weller DDS PLLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

PHILLIP T WELLER DDS PLLC

Doing business as

Hickory Periodontics

Practice address

3305 16TH Ave SE
Ste 301
Conover, NC 28613

Phone

(435) 659-4336

NPI assigned

Jul 2, 2025

Last updated

Jul 17, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Phillip Tate Weller, DDSNPI 1780339010

Title

Periodontist

Phone

(435) 659-4336

Specialties & licenses 1

Addresses

Other names 1

• Hickory Periodontics Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Phillip Tate Weller

  • Student in an Organized Health Care Education/Training Program
  • Augusta, GA
  • NPI 1780339010
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1751414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752710400000",
    "number": "1407745599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 16TH AVE SE STE 301",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286139213",
            "telephone_number": "828-465-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 16TH AVE SE",
            "address_2": "STE 301",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "28613",
            "telephone_number": "435-659-4336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP T WELLER DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-02",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A",
        "authorized_official_last_name": "WELLER",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "TATE",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "435-659-4336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@hickoryperiodontics.com",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3305 16th Ave SE Ste 301",
            "city": "Conover",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286139213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Hickory Periodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caroline Ayers Parmiter, RPH
• Cathy Cloninger Pasour, MACC, LMFT, LCAS
• Whitney Patterson, NP
• Sara C. Paul, NP
• Susan Kochel Pearce, PT
• Jannie Sue Phillips, OTR/L
• John H Piland, M.D.
• Mary Weddington Poetker, PT
• Premier Home Health Care Services
• Premier Home Health Care Services

• Periodontics in Conover, NC
• Providers in Conover, NC by specialty
• Periodontics in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.