Provider Demographics
NPI:1598003121
Name:WEINER, JARED SCOTT (DMD)
Entity Type:Individual
Prefix:DR
First Name:JARED
Middle Name:SCOTT
Last Name:WEINER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
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Mailing Address - Street 1:1300 BRIDGETOWN PIKE
Mailing Address - Street 2:
Mailing Address - City:FEASTERVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-4326
Mailing Address - Country:US
Mailing Address - Phone:215-322-7810
Mailing Address - Fax:215-322-7832
Practice Address - Street 1:1300 BRIDGETOWN PIKE
Practice Address - Street 2:
Practice Address - City:FEASTERVILLE
Practice Address - State:PA
Practice Address - Zip Code:19053-4326
Practice Address - Country:US
Practice Address - Phone:215-322-7810
Practice Address - Fax:215-322-7832
Is Sole Proprietor?:No
Enumeration Date:2013-01-16
Last Update Date:2015-08-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PADS040283204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery