Dr Robert Vincent Weaver, DMD is a
Dentist - Pediatric Dentistry based in St. Johns, Florida. Dr Robert Vincent Weaver is licensed to practice in Florida (license number 18975) and his current practice location is
112 Bartram Oaks Walk, Suite #203, St. Johns, Florida. He can be reached at his office (for appointments etc.) via phone at
(904) 264-5437.
NPI number for Dr Robert Vincent Weaver is 1609181916 and his current mailing address is 3020 Hartley Rd, Suite #120, Jacksonville, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1609181916.
Healthcare Provider's Profile
| Full Name | Dr Robert Vincent Weaver |
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| Gender | Male |
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| Speciality | Dentist - Pediatric Dentistry |
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| Location | 112 Bartram Oaks Walk, St. Johns, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1609181916
- Provider Enumeration Date: 08/11/2010
- Last Update Date: 12/14/2020
Medical Identifiers
Medical identifiers for Dr Robert Vincent Weaver such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609181916 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | DN18975 (Florida) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | 18975 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Robert Vincent Weaver is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Robert Vincent Weaver, DMD
3020 Hartley Rd, Suite #120,
Jacksonville, FL 32257
Ph: (904) 264-5437 | Dr Robert Vincent Weaver, DMD
112 Bartram Oaks Walk, Suite #203,
St. Johns, FL 32259
Ph: (904) 264-5437 |
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