Provider Demographics
NPI:1912021973
Name:SAULL, JONI (DMD)
Entity Type:Individual
Prefix:DR
First Name:JONI
Middle Name:
Last Name:SAULL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 GERMANTOWN PIKE
Mailing Address - Street 2:SUITE F-4
Mailing Address - City:PLYMOUTH MEETING
Mailing Address - State:PA
Mailing Address - Zip Code:19462-2480
Mailing Address - Country:US
Mailing Address - Phone:610-278-6500
Mailing Address - Fax:610-278-6501
Practice Address - Street 1:1000 GERMANTOWN PIKE
Practice Address - Street 2:SUITE F-4
Practice Address - City:PLYMOUTH MEETING
Practice Address - State:PA
Practice Address - Zip Code:19462-2480
Practice Address - Country:US
Practice Address - Phone:610-278-6500
Practice Address - Fax:610-278-6501
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS023697L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice