Individual
DR. JEFFREY DAVID WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
25 INNOVATION DR, GREENVILLE, SC 29607-5252
(864) 210-9075
Mailing address
16 EDGE CT UNIT C, GREENVILLE, SC 29609-5576
(843) 597-0807
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4099
SC
Other
Enumeration date
01/19/2007
Last updated
06/11/2020
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