Individual
DR. JACK PHILLIP WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4704 CAHABA RIVER RD, SUITE 2D, BIRMINGHAM, AL 35243-2344
(205) 262-9855
(205) 271-2128
Mailing address
4704 CAHABA RIVER RD, SUITE 2D, BIRMINGHAM, AL 35243-2344
(205) 262-9855
(205) 271-2128
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3809
AL
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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