Provider Demographics
NPI:1881827046
Name:WESTON, JENNY SWARTZ (DDS)
Entity Type:Individual
Prefix:DR
First Name:JENNY
Middle Name:SWARTZ
Last Name:WESTON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:JENNY
Other - Middle Name:JAY
Other - Last Name:SWARTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:612 PASTEUR DR STE 101
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27403-1120
Mailing Address - Country:US
Mailing Address - Phone:336-292-1990
Mailing Address - Fax:336-292-4738
Practice Address - Street 1:612 PASTEUR DR STE 101
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27403-1120
Practice Address - Country:US
Practice Address - Phone:336-292-1990
Practice Address - Fax:336-292-4738
Is Sole Proprietor?:No
Enumeration Date:2009-09-03
Last Update Date:2010-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC87841223G0001X, 1223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No1223D0001XDental ProvidersDentistDental Public Health