Individual provider · Type 1 NPI

Jack Weil, DMD

Pediatric Dentistry · Vienna, VA

NPI number 1871694380 Active

Practice location

402 Maple Ave West, Suite B
Vienna, VA 22180

Call (703) 255-2573 Map

Fax (703) 255-2278

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X0401005551 (VA)

Pediatric Dentistry: 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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About NPI 1871694380

Jack Weil, DMD's National Provider Identifier is 1871694380, issued on Sep 26, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Vienna, VA. The record was last updated on Jul 8, 2007.