Provider Demographics
NPI:1851517502
Name:WEINMAN, JONATHAN HOWARD (DDS)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:HOWARD
Last Name:WEINMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 OLD COURT RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-4038
Mailing Address - Country:US
Mailing Address - Phone:410-486-1133
Mailing Address - Fax:
Practice Address - Street 1:106 OLD COURT RD
Practice Address - Street 2:SUITE 201
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21208-4038
Practice Address - Country:US
Practice Address - Phone:410-486-1133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDMD71391223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics