Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689059313 Individual Practitioner Male Practitioner

Dr. Jordan Weis , DMD

Dentist • Vandalia, IL

Professional Overview & Biography Verified Profile Summary

Dr. Jordan Weis, DMD is a registered healthcare professional specializing in Dentist in Vandalia, IL. Practice services are available at 2102 W RANDOLPH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2102 W Randolph St

Vandalia, IL 624711973

Telephone 6182834900
Fax 6182834963
Associated Practice Facility / Clinic
🏢 Dynamic Dental Group, P.c. Facility NPI 1811062557

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Vandalia, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
4 Specialists

Practicing in Vandalia, IL (4751 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 019030323

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Callie Fleshren , DMD

Dentist - General Practice

NPI 1366332504

Doctor of Dental Medicine

NPI 1396475208

Doctor of Dental Surgery

Dr. Michael Fulton , DDS

Dentist - General Practice

NPI 1497820922

Doctor of Dental Surgery

NPI 1609484138

Doctor of Dental Medicine

Dr. Bradley Dunn , DMD

Dentist - General Practice

NPI 1619042165

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 23, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 23, 2015

Registered at 2102 W RANDOLPH ST, VANDALIA, IL 624711973 (Tel: 6182834900)

📍
Updated Business Mailing Address July 23, 2015

Registered at 2102 W RANDOLPH ST, VANDALIA, IL 624711973 (Tel: 6182834900)

👤
Provider Name / Credentials Updated July 23, 2015

Recorded as JORDAN WEIS, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2015

Dentist (License #019030323 in IL)

🟢
Initial NPI Registration & Enumeration July 23, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689059313
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 23, 2015
Last Update: July 23, 2015
Sole Proprietor: No

Mailing Address

2102 W Randolph St

Vandalia, IL 624711973

Phone: 6182834900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.