| Kolin E. Weaver, Dds, Ms, Inc. | |
|
2316 Red Wolf Blvd Ste C Jonesboro AR 72401-6360 | |
| (870) 972-5445 | |
| Not Available |
| Full Name | Kolin E. Weaver, Dds, Ms, Inc. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2316 Red Wolf Blvd Ste C, Jonesboro, Arkansas |
| Authorized Official Name and Position | Kolin Emrys Weaver (PRESIDENT/ ORTHODONTIST) |
| Authorized Official Contact | 8709725445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kolin E. Weaver, Dds, Ms, Inc. 2316 Red Wolf Blvd Ste C Jonesboro AR 72401-6360 Ph: (870) 972-5445 | Kolin E. Weaver, Dds, Ms, Inc. 2316 Red Wolf Blvd Ste C Jonesboro AR 72401-6360 Ph: (870) 972-5445 |
| NPI Number | 1982229985 |
|---|---|
| Provider Enumeration Date | 06/15/2020 |
| Last Update Date | 06/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982229985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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