Jack Phillip Weiss DMD

NPI 1699932285 - Dentist - 122300000X

NPI Details
NPI 1699932285
Gender Male
Enumeration Date 05/21/2008
Last Updated 05/21/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
4704 CAHABA RIVER RD
SUITE 2D
BIRMINGHAM AL, 35243-2344, US
Phone (205) 262-9855
Fax (205) 271-2128
Business Location
4704 CAHABA RIVER RD
SUITE 2D
BIRMINGHAM AL, 35243-2344, US
Phone (205) 262-9855
Fax (205) 271-2128
Toxanomy
Taxonomy Code 122300000X
License State Alabama
License Number 3809
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According to our database, Dr. Jack Phillip Weiss DMD NPI is 1699932285, taxonomy code is 122300000X and license number is 3809, license state is located at Alabama. Jack Phillip Weiss DMD physically located at 4704 Cahaba River Rd, Birmingham AL, 35243-2344. NPI Number Jack Phillip Weiss DMD has the Individual type.

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1699932285 NPI number is provided on an as is basis without warranty of any kind. 1699932285 is maintained by the National Plan & Provider Enumeration System. The contents of Jack Phillip Weiss DMD are for informational purposes only.