KENNETH J WEISS


Address: 103 Old Marlton Pike, Suite 200, Medford, NJ 08055-8772
Phone: 6099537123

KENNETH J WEISS (NPI# 1164564852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164564852
Entity Type Individual
Full Name KENNETH J WEISS
Credential DMD
Practice Address 103 Old Marlton Pike
Suite 200
Medford
NJ 08055-8772
Practice Telephone 6099537123
Mailing Telephone 6099537123
Enumeration Date 2007-02-12
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
DS021707L PA Dental Providers

Other Providers KENNETH WEISS

NPI Name Taxonomy Address Enumeration
1861415887 Kenneth Joel Weiss General Practice 9890 Main Street Rear, Damascus, MD 20872-2087 2006-07-25
1225087877 Kenneth Weiss Family Medicine 8101 Washington Ln, Suite 101, Wyncote, PA 19095-1625 2006-05-10
1700889730 Kenneth S Weiss Orthopaedic Surgery 6286 Briarcrest Ave Ste 200, Memphis, TN 38120-4023 2005-05-23
1538209515 Kenneth Weiss Otolaryngology 10377 S Us Highway 1, Ste 101, Port St Lucie, FL 34952-5630 2007-02-07
1356407506 Kenneth Jay Weiss Psychiatry & Neurology 333 E City Ave, Suite 300, Bala Cynwyd, PA 19004-1501 2006-12-29
1396835096 Kenneth S Weiss Internal Medicine 9500 Euclid Ave, Cleveland, OH 44195-0001 2006-10-13
1760492730 Kenneth Mark Weiss Psychologist 10000 Brecksville Rd, Va Medical Center - 51a, Brecksville, OH 44141-3204 2006-08-09
1497783161 Kenneth L Weiss Radiology 1400 Nw 12th Ave, Miami, FL 33136-1003 2006-06-29
1265469282 Kenneth I Weiss Psychologist 115 Main St, Suite 2d, North Easton, MA 02356-1468 2006-06-26

Office Location

Street Address 103 OLD MARLTON PIKE
SUITE 200
City MEDFORD
State NJ
Zip Code 08055-8772

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467442384 John Yohan Kim Allergy & Immunology 103 Old Marlton Pike, Suite 211, Medford, NJ 08055-8772 2005-10-22
1992058689 Courtney E Houde Physician Assistant 103 Old Marlton Pike, Medford, NJ 08055 2012-10-18
1790066264 Sleep for Health-medford LLC Clinic/Center 103 Old Marlton Pike, Suite 124, Medford, NJ 08055-8772 2011-08-29
1720318512 Louis A D'angelo, Dmd, PC Dentist 103 Old Marlton Pike, Suite 200, Medford, NJ 08055-8772 2009-12-30
1457581340 Silen Balin Dentist 103 Old Marlton Pike, #200, Medford, NJ 08055-8772 2009-07-26
1275710592 Donald C Gibson Dentist 103 Old Marlton Pike, Suite 200, Medford, NJ 08055-8772 2008-01-29
1942492723 Janet L Parker Nurse Practitioner 103 Old Marlton Pike, Suite 211, Medford, NJ 08055-8772 2007-08-15
1528258274 Jeffrey Pinto Internal Medicine 103 Old Marlton Pike, Suite 103, Medford, NJ 08055-8772 2007-07-30
1881721140 Jeffrey M Doblin Dentist 103 Old Marlton Pike, Suite 200, Medford, NJ 08055 2007-02-27
1073655981 Doshik Kim Dentist 103 Old Marlton Pike, Suite 200, Medford, NJ 08055-8772 2007-02-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215406459 Natalia Eltabaa Nurse Practitioner 143b Atsion Rd, Medford, NJ 08055 2018-11-16
1922574326 Emily G Wilkins Psychiatry & Neurology 239 Taunton, A-2, Medford, NJ 08055 2018-10-23
1508348863 Gerald D Mingin Jr. Psychologist 135 Eayrestown Rd. Suite A, Southampton, NJ 08055 2018-09-04
1316465750 Gabriella Marie Francis Specialist/Technologist 133 Apache Trail, Medford Lakes, NJ 08055 2017-09-06
1265968572 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 609 Eugenia, Medford, NJ 08055 2017-05-05
1326574690 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1503 Cedar Dr, Medford, NJ 08055 2017-05-05
1780110007 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1610 Cedar Dr, Medford, NJ 08055 2017-05-05
1902332216 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1909 Cedar Dr, Medford, NJ 08055 2017-05-05
1083140396 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 503 Eugenia Dr, Medford, NJ 08055 2017-05-05
1457887762 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 905 Eugenia Dr, Medford, NJ 08055 2017-05-05
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598306490 Element Family Dental Dentist 3860 Mystic Valley Pkwy, Unit B, Medford, MA 02155-5029 2019-10-01
1477119477 Yu Wang Dentist 3620 Mystic Valley Pkwy Apt E209, Medford, MA 02155-5765 2019-05-15
1871086694 Shuo Yang Dentist 8 9th St Apt 310, Medford, MA 02155 2018-06-07
1003320854 Thompson Dental Associates PC Dentist 690 Fellsway, Medford, MA 02155-4901 2017-11-30
1023547536 Joshua Morgan Rice Dentist 1117 E Main St Ste 1, Medford, OR 97504 2017-06-08
1053849943 Joshua W Doyle Dentist 915 Casement Ct, Medford, WI 54451-1204 2017-05-23
1851833131 Northwest Dental Associates -medford LLC Dentist 3551 E Barnett Rd, Suite 101, Medford, OR 97504-7037 2016-11-17
1184074882 Snoring and Sleep Apnea Care LLC Dentist Zero Governors Ave 20-21, Medford, MA 02155-3025 2016-06-14
1487039186 Benjamin Woolnough Dentist 366 Salem Street, Medford, MA 02155 2015-07-22
1275913329 Trevor Peterson Dentist 4411 Brownridge Terrace, Medford, OR 97504 2015-06-04
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Competitor

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City MEDFORD
Zip Code 08055

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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