Provider Demographics
NPI:1962959247
Name:LING, TED WEITSER (DDS)
Entity type:Individual
Prefix:DR
First Name:TED
Middle Name:WEITSER
Last Name:LING
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8401 N CENTRAL EXPY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-4402
Mailing Address - Country:US
Mailing Address - Phone:215-301-7337
Mailing Address - Fax:
Practice Address - Street 1:8401 N CENTRAL EXPY
Practice Address - Street 2:SUITE 200
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-4402
Practice Address - Country:US
Practice Address - Phone:215-301-7337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-05
Last Update Date:2016-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX322441223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics