| Jordan Weis, DMD | |
|
2102 W Randolph St, Vandalia, IL 62471-1973 | |
| (618) 283-4900 | |
| (618) 283-4963 |
| Full Name | Jordan Weis |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 2102 W Randolph St, Vandalia, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689059313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019030323 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Weis, DMD 2102 W Randolph St, Vandalia, IL 62471-1973 Ph: (618) 283-4900 | Jordan Weis, DMD 2102 W Randolph St, Vandalia, IL 62471-1973 Ph: (618) 283-4900 |
John (jay) Jason Lowry, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2219 W Randolph St, Vandalia, IL 62471 Phone: 618-283-1760 Fax: 618-283-1657 | |
Alivia Cao, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2102 W Randolph St, Vandalia, IL 62471 Phone: 618-283-4900 | |
Dr. Michael Kent Fulton, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2102 W Randolph St, Vandalia, IL 62471 Phone: 618-283-4900 | |
Dr. Bradley Knight Dunn, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 2102 W. Randolph St., Vandalia, IL 62471 Phone: 618-283-4900 Fax: 618-283-4963 | |
Mr. Jonathan Michael Sones, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 2219 W Randolph St, Vandalia, IL 62471 Phone: 618-283-1760 Fax: 618-283-1657 | |
Dr. Kelli Jean Brunk Blank, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 607 W Orchard St, Vandalia, IL 62471 Phone: 618-283-2929 Fax: 618-283-2113 |