Ronald Weems Jr. P.c.

NPI #1104098144 in Granite City, Illinois

Provider Information

NPI Number: 1104098144
Entity Type: Organization
Organization Name: Ronald Weems Jr. P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: RONALD WEEMS JR. P.C.
Primary Specialty: Dentist
Enumeration Date: Mar 31, 2008
Last Updated: May 29, 2012

Practice Location

Address: 3429 NAMEOKI RD
City: Granite City
State: Illinois
ZIP Code: 62040-3709
Phone: (618) 452-2006

Authorized Official

Name: AMANDA HENDERSON
Title: BUSINESS ASSISTANT
Phone: (618) 288-6201

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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