Provider Demographics
NPI:1700775624
Name:WEINHOLD, JAMIE LEANNE (DDS)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:LEANNE
Last Name:WEINHOLD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:LEANNE
Other - Last Name:KUMAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1740 URBAN TRL APT 304
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37405-1534
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1212 DODDS AVE
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37404-4754
Practice Address - Country:US
Practice Address - Phone:423-206-9641
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN128241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice