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Dr. Jack Weil, DMD
Pediatric Dentist in Vienna, Virginia
NPI 1871694380

Jack Weil is a Pediatric Dentist based in Vienna, VA and is specialized in Pediatric Dentistry. Jack Weil practices in Vienna, VA and has the professional credentials of DMD. The NPI Number for Jack Weil is 1871694380 and holds a License No. 0401005551 (Virginia).

The current practice location address for Jack Weil is 402 Maple Ave West, Vienna, VA and can be reached out via phone at 703-255-2573 and via fax at 703-255-2278.

Location: 402 Maple Ave West, Vienna, VA, 22180
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871694380
Provider Name
Jack Weil
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
402 Maple Ave West, Vienna, VA, 22180
Phone Number
703-255-2573
Fax Number
703-255-2278
Provider Enumeration Date
09/26/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
402 Maple Ave West
City
Vienna
State
Virginia
Zip
22180
Phone Number
703-255-2573
Fax Number
703-255-2278
person
Provider Business Mailing Address Details
Address
402 Maple Ave West
City
Vienna
State
Virginia
Zip
22180
Phone Number
703-255-2573
Fax Number
703-255-2278
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
0401005551 (Virginia)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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