Individual
JACOB WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3090 E HIGHWAY 27, LINCOLNTON, NC 28092-9441
(704) 732-2629
Mailing address
3090 E HIGHWAY 27, LINCOLNTON, NC 28092-9441
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
111060
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/06/2017
Last updated
06/30/2019
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