Provider Demographics
NPI:1134330202
Name:WEYRICH, JANET COOK (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:COOK
Last Name:WEYRICH
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 SHERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CLARKESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30523-4743
Mailing Address - Country:US
Mailing Address - Phone:706-754-1792
Mailing Address - Fax:
Practice Address - Street 1:106 SHERWOOD DR
Practice Address - Street 2:
Practice Address - City:CLARKESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30523-4743
Practice Address - Country:US
Practice Address - Phone:706-754-1792
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0109791223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics