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NPI Code Detail

MEDICARE: DR. JEFFREY HERBERT WEISS D.D.S.

MEDICARE:  DR. JEFFREY HERBERT WEISS  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry2901011363MI

General Provider Information

NPI Number : 1801938311
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY HERBERT WEISS D.D.S.
Provider Business Mailing Address
First Line : 22320 FORD RD
Second Line :
City : DEARBORN HEIGHTS
State : MI
Zip : 48127-2421
Country : US
Telephone Number : 313-563-3400
Fax Number : 313-563-7653
Provider Business Practice Location Address
First Line : 22320 FORD RD
Second Line :
City : DEARBORN HEIGHTS
State : MI
Zip : 48127-2421
Country : US
Telephone Number : 313-563-3400
Fax Number : 313-563-7653
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2007
Last Update Date : 07/08/2007

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Directions to “ DR. JEFFREY HERBERT WEISS D.D.S.” Practice Location

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