Provider Demographics
NPI:1982005351
Name:WEILER, JOEL A (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:A
Last Name:WEILER
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 1:2114 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:PELLA
Mailing Address - State:IA
Mailing Address - Zip Code:50219-7880
Mailing Address - Country:US
Mailing Address - Phone:641-628-1604
Mailing Address - Fax:641-628-2075
Practice Address - Street 1:2114 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:PELLA
Practice Address - State:IA
Practice Address - Zip Code:50219-7880
Practice Address - Country:US
Practice Address - Phone:641-628-1604
Practice Address - Fax:641-628-2075
Is Sole Proprietor?:No
Enumeration Date:2014-09-04
Last Update Date:2014-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA09126122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist