Individual
JAROD WEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
548 RIDGE RD STE A, MUNSTER, IN 46321-1600
(219) 218-7235
Mailing address
3902 GREYSTONE DR, CORPUS CHRISTI, TX 78414-5618
(843) 475-5653
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019.034650
IL
1223G0001X
General Practice Dentistry
Primary
12013950A
IN
1223G0001X
General Practice Dentistry
38479
TX
Other
Enumeration date
04/12/2022
Last updated
02/17/2025
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