Provider Demographics
NPI:1346418241
Name:VOINER, JONATHAN L (DMD, MD)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:L
Last Name:VOINER
Suffix:
Gender:M
Credentials:DMD, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:21 INDUSTRIAL BLVD SUITE 100
Mailing Address - Street 2:
Mailing Address - City:PAOLI
Mailing Address - State:PA
Mailing Address - Zip Code:19301
Mailing Address - Country:US
Mailing Address - Phone:610-644-6497
Mailing Address - Fax:610-644-6622
Practice Address - Street 1:21 INDUSTRIAL BLVD SUITE 100
Practice Address - Street 2:
Practice Address - City:PAOLI
Practice Address - State:PA
Practice Address - Zip Code:19301
Practice Address - Country:US
Practice Address - Phone:610-644-6497
Practice Address - Fax:610-644-6622
Is Sole Proprietor?:No
Enumeration Date:2008-02-13
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PADS0355861223S0112X
PAMD434079204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery