Individual
DR. JACK WEISBOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3516 FRANKFORT AVE, LOUISVILLE, KY 40207-2561
(502) 430-3451
Mailing address
3516 FRANKFORT AVE, LOUISVILLE, KY 40207-2561
(502) 430-3451
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-00129
KY
1223G0001X
General Practice Dentistry
D011076
AZ
Other
Enumeration date
07/08/2021
Last updated
03/15/2026
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