Individual
DR. JACOB NICHOLAS WEIGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
620 PERIMETER DR STE 103, LEXINGTON, KY 40517-4125
(859) 268-7668
(859) 972-0772
Mailing address
620 PERIMETER DR STE 103, LEXINGTON, KY 40517-4125
(502) 548-0073
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9048
KY
1223E0200X
Endodontics
Primary
9048
KY
Other
Enumeration date
08/17/2011
Last updated
08/06/2020
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