Individual ProviderJennifer WeaverDentistDental ProvidersPractice Address550 Chestnut St, Conway, AR 72032-5402(501) 329-8754PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Weaver does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1265567366Provider TypeIndividualFull NameWeaver, JenniferCredentialD.D.S.GenderFemaleSole ProprietorNoEnumeration Date2/22/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address550 Chestnut St, Conway, AR 72032-5402Phone(501) 329-8754Fax(501) 329-2530Mailing LocationMailing Address550 Chestnut St, Conway, AR 72032-5402Phone(501) 329-8754Fax(501) 329-2530Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense3297Arkansas