Weaver, Robert Vincent

Weaver, Robert Vincent is an sole proprietor health care provider with primary practice located at 112 Bartram Oaks Walk Suite #203, St. Johns FL 32259. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Weaver, Robert Vincent can be contacted via phone (904) 264-5437.

Contact Information

Primary practice address
112 Bartram Oaks Walk Suite #203 St. Johns FL 32259
Phone: (904) 264-5437
Fax: (904) 485-8417
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN18975 Florida
Dental Providers / Pediatric Dentistry 1223P0221X 18975 Florida

Profile Details

NPI number 1609181916
LBN Legal business name Weaver, Robert Vincent
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2010
Last updated Dec 14th, 2020 - about 5 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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