| Weaver Orthodontics | |
|
35 Professional Dr Brunswick GA 31520-3773 | |
| (912) 264-6890 | |
| (912) 264-4374 |
| Full Name | Weaver Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 35 Professional Dr, Brunswick, Georgia |
| Authorized Official Name and Position | Vicenta Reyes (CREDENTIALING MANAGER) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Weaver Orthodontics 35 Professional Dr Brunswick GA 31520-3773 Ph: (912) 264-6890 | Weaver Orthodontics 35 Professional Dr Brunswick GA 31520-3773 Ph: (912) 264-6890 |
| NPI Number | 1477272151 |
|---|---|
| Provider Enumeration Date | 08/25/2022 |
| Last Update Date | 08/25/2022 |
| Certification Date | 08/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477272151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | () | Primary |
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