Individual provider · Type 1 NPI
Jack Michael Weber, DMD MSD
Periodontics · Binghamton, NY
NPI number
1336210772
Active
Practice location
78 Court St
Binghamton, NY 13901
Fax (607) 723-1306
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 028635 (NY) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
About NPI 1336210772
Jack Michael Weber, DMD MSD's National Provider Identifier is 1336210772, issued on Nov 9, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Binghamton, NY. The record was last updated on Jul 8, 2007.