| Organization Name: | JEFFREY H. WEISS, D.D.S., P.C. DENTAL ASSOCIATES |
| NPI Number: | 1073655593 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEFFREY HERBERT WEISS (TREASURER) |
| Mailing Address: | 22320 Ford Rd Dearborn Heights |
| State: | MI US |
| Postal Code: | 481272421 |
| Phone Number: | 3135633400 |
| Fax Number: | 3135637653 |
| NPI Enumeration Date: | 02/12/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 2901011363 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |