Weaver, Gerald Kent
Weaver, Gerald Kent is an individual health care provider with primary practice located at 1584 Kingsley Avenue Suite 1, Orange Park FL 32073-4502. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Weaver, Gerald Kent can be contacted via phone (904) 264-5437.Contact Information
Primary practice address
1584 Kingsley Avenue Suite 1
Orange Park FL 32073-4502
Phone: (904) 264-5437
Fax: (904) 485-8417
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | DN8302 | Florida |
Profile Details
| NPI number | 1700974433 |
|---|---|
| LBN Legal business name | Weaver, Gerald Kent |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Sep 2nd, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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