Gerald Kent Weaver in Jacksonville - Pediatric Dentistry
Gerald Kent Weaver - NPI 1700974433
Gerald Kent Weaver is a Pediatric Dentistry in Jacksonville, Florida. Gerald Kent Weaver practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Gerald Kent Weaver is 1700974433. The last update date is 2020-09-02.
Gerald Kent Weaver's current location address is 3020 Hartley Rd, Jacksonville, Florida. You can contact this provider via phone number 9042645437 and fax number 9044858417. The mailing address for Gerald Kent Weaver is 3020 Hartley Rd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gerald Kent Weaver |
|---|---|
| Address | 3020 Hartley Rd, Jacksonville, Florida |
| Phone Number | 9042645437 |
| Fax Number | 9044858417 |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1700974433 |
|---|---|
| Provider Enumeration Date | 2006-10-10 |
| Last Updated Date | 2020-09-02 |
Provider Mailing Address Detail
| Address | 3020 Hartley Rd |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322578206 |
| Phone Number | 9042645437 |
| Fax Number | 9044858417 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | DN8302 |
|
Definition: 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. |
|
Post Comment/ Review Below
What is the Gerald Kent Weaver's 1700974433?
The Gerald Kent Weaver's NPI (National Provider Identifier) Number is 1700974433. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Gerald Kent Weaver located?
The Gerald Kent Weaver is located at 3020 Hartley Rd, Jacksonville, FL 322578206.
What is the Gerald Kent Weaver's specialty and taxonomy code?
The Gerald Kent Weaver's specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.
What is the area of specialization for Gerald Kent Weaver, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Gerald Kent Weaver is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0221X.
When was the Gerald Kent Weaver's 1700974433 issued?
The Gerald Kent Weaver's 1700974433 was issued on 2006-10-10.