Individual provider · Type 1 NPI
Robert Vincent Weaver, DMD
Pediatric Dentistry · St. Johns, FL
NPI number
1609181916
Active
Practice location
112 Bartram Oaks Walk, Suite #203
St. Johns, FL 32259
Fax (904) 485-8417
Mailing address
3020 Hartley Rd, Suite #120
Jacksonville, FL 32257
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | DN18975 (FL) |
| Pediatric Dentistry Primary | 1223P0221X | 18975 (FL) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2 other providers at this address
Other pediatric dentistry providers in St. Johns
About NPI 1609181916
Robert Vincent Weaver, DMD's National Provider Identifier is 1609181916, issued on Aug 11, 2010. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in St. Johns, FL. The record was last updated on Dec 14, 2020.