Robert Vincent Weaver, DMD

Pediatric Dentistry · St. Johns, FL

Individual Active NPI

NPI number 1609181916

Practice location

112 Bartram Oaks Walk
Suite #203
St. Johns, FL 32259
Phone
(904) 264-5437
Fax
(904) 485-8417

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NPI record

NPI
1609181916
Entity type
Individual (Type 1)
Enumeration date
August 11, 2010
Last updated
December 14, 2020
Certified
December 14, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Dentistry Primary 1223P0221X 18975 FL
Dentist 122300000X DN18975 FL

Mailing address

3020 Hartley Rd
Suite #120
Jacksonville, FL 32257
Phone
(904) 264-5437
Fax
(904) 485-8417

About Dr. Weaver

Robert Vincent Weaver, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Dentistry (code 1223P0221X). The practice location is 112 Bartram Oaks Walk, Suite #203, St. Johns, FL 32259. The NPI number 1609181916 was assigned on August 11, 2010 and the record was last updated on December 14, 2020.

Dr. Weaver lists 2 licenses in the registry: #18975 (FL) for Pediatric Dentistry; #DN18975 (FL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Robert Vincent Weaver, DMD?

The NPI number is 1609181916.

What is the phone number of Dr. Weaver?

The phone number listed for the practice location is (904) 264-5437.

Where is Dr. Weaver located?

112 Bartram Oaks Walk, Suite #203, St. Johns, FL 32259.

What is the taxonomy code for Dr. Weaver?

The primary taxonomy code is 1223P0221X – Pediatric Dentistry; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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