Provider Demographics
NPI:1891838595
Name:WEISFELD, SAUL JOEL (DMD)
Entity Type:Individual
Prefix:DR
First Name:SAUL
Middle Name:JOEL
Last Name:WEISFELD
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3726 GARRETT RD
Mailing Address - Street 2:
Mailing Address - City:DREXEL HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19026-3505
Mailing Address - Country:US
Mailing Address - Phone:610-622-8600
Mailing Address - Fax:610-622-5299
Practice Address - Street 1:3726 GARRETT RD
Practice Address - Street 2:
Practice Address - City:DREXEL HILL
Practice Address - State:PA
Practice Address - Zip Code:19026-3505
Practice Address - Country:US
Practice Address - Phone:610-622-8600
Practice Address - Fax:610-622-5299
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2016-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS-022535-L1223G0001X
NJ22DI013939001223G0001X
FLDN181971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice