Provider Demographics
NPI:1770753279
Name:JOAN WERLEMAN DDS PC
Entity type:Organization
Organization Name:JOAN WERLEMAN DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WERLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:717-633-5874
Mailing Address - Street 1:195 STOCK ST
Mailing Address - Street 2:SUITE 310
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-2266
Mailing Address - Country:US
Mailing Address - Phone:717-633-5874
Mailing Address - Fax:717-646-0742
Practice Address - Street 1:195 STOCK ST
Practice Address - Street 2:SUITE 310
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-2266
Practice Address - Country:US
Practice Address - Phone:717-633-5874
Practice Address - Fax:717-646-0742
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-11
Last Update Date:2017-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS028358L261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental