J. STEPHEN WEIR, D.D.S., L.L.C. (NPI# 1952511578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952511578 |
| Entity Type | Organization |
| Organization Name | J. STEPHEN WEIR, D.D.S., L.L.C. |
| Other Organization Name | J. STEPHEN WEIR, D.D. S. |
| Practice Address |
5348 Estate Office Dr Suite #1 Memphis TN 38119-3635 |
| Mailing Address |
9027 Winding Way Germantown TN 38139-6647 |
| Practice Telephone | 9017634700 |
| Mailing Telephone | 9017567186 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JOHN STEPHEN WEIR (OWNER) |
| Authorized Official Telephone | 9017634700 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DS0000003418 | TN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | SOCIAL SECURITY NUMBER | $$$$$$$$$ | 01 |
| Other Name | Type Code |
|---|---|
| J. Stephen Weir, D.D. S. | Doing Business As Name - Organization |
| Street Address |
5348 ESTATE OFFICE DR SUITE #1 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38119-3635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760489496 | John Stephen Weir | Dentist | 5348 Estate Office Dr, Suite #1, Memphis, TN 38119-3635 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417469628 | Jojuan Fullwiley | Behavioral Analyst | 6685 Quince Rd Ste 116, Memphis, TN 38119 | 2017-10-27 |
| 1336675297 | Jill Budynas Depriest | Counselor | 5583 Murray Ave Ste 203, Memphis, TN 38119 | 2017-05-11 |
| 1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
| 1598117442 | Hazel Aberdeen | Chiropractor | 1911 Memphis Tennessee, Memphis, TN 38119 | 2016-07-04 |
| 1831569060 | E-c-t Non Emergency Medical Transport | Non-emergency Medical Transport (VAN) | 6869 Woodlake Dr, Memphis, TN 38119 | 2015-09-30 |
| 1053781617 | Astrid Roman | Dietitian, Registered | 8020 Hillside Cv, Memphis, MS 38119 | 2015-09-25 |
| 1467857664 | Allan Jacob Katz | Counselor | 5668 Rex Rd, Suite 104, Memphis, TN 38119 | 2014-10-30 |
| 1962836015 | Judy Ann Harrick | Acupuncturist | 5575 Poplar Ave., #702, Memphis, TN 38119 | 2013-08-26 |
| 1366791949 | Jennifer Denyes Bidelman | Audiologist | 5625 Poplar Avenue, Memphis, TN 38119 | 2012-08-29 |
| 1578833620 | Elizabeth Mary Dion-douglass | Pharmacist | 2891 Kirby Parkway, Memphis, TN 38119 | 2012-01-06 |
| Find all providers in zip 38119 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023158185 | Periodontal Associates of Memphis | Dentist | 6268 Poplar Ave, Memphis, TN 38119-4713 | 2007-02-07 |
| 1932211349 | Hiram Raymond Fry | Dentist | 1721 Kirby Pkwy, Memphis, TN 38120-4367 | 2006-08-31 |
| 1760489496 | John Stephen Weir | Dentist | 5348 Estate Office Dr, Suite #1, Memphis, TN 38119-3635 | 2005-07-07 |
| 1619327244 | Grant Thomas King | Dentist | 6268 Poplar Ave, Memphis, TN 38119-4713 | 2016-06-14 |
| 1225262884 | Anastasios Karydis | Dentist | 875 Union Ave, C511, Memphis, TN 38103-3513 | 2009-05-12 |
| 1235308537 | Joan C. Schmitt | Dentist | 5366 Estate Office Dr, Memphis, TN 38119-0611 | 2008-02-21 |
| 1144433210 | Mark Randall Patters | Dentist | 875 Union Ave, Univ. of Tennessee, College of Dentistry, Memphis, TN 38163-0001 | 2007-05-07 |
| 1356470835 | Lesley H Binkley Jr. | Dentist | 6268 Poplar Ave, Memphis, TN 38119-4713 | 2007-03-02 |
| 1639208127 | Preston D Miller Jr. | Dentist | 6268 Poplar Ave, Memphis, TN 38119-4713 | 2007-03-02 |
| 1114056694 | Roger D Craddock | Dentist | 6268 Poplar Ave, Memphis, TN 38119-4713 | 2007-03-02 |
| Find all providers in MEMPHIS | ||||
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| 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.