MEDICARE: ROBERT A. WEINSTEIN, DDS, MS, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	19590	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1396759478	OTHER	TX	INDIVIDUAL NPI
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326230327
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT A. WEINSTEIN, DDS, MS, PC

Provider Business Mailing Address
First Line	:	14856 PRESTON RD
Second Line	:	SUITE 104
City	:	DALLAS
State	:	TX
Zip	:	75254-6822
Country	:	US
Telephone Number	:	972-960-1111
Fax Number	:	972-960-1110

Provider Business Practice Location Address
First Line	:	14856 PRESTON RD
Second Line	:	SUITE 104
City	:	DALLAS
State	:	TX
Zip	:	75254-6822
Country	:	US
Telephone Number	:	972-960-1111
Fax Number	:	972-960-1110

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	DR. ROBERT WEINSTEIN
Credential	:	DDS, MS
Telephone Number	:	972-960-1111

Provider Enumeration Date	:	08/14/2007
Last Update Date	:	08/14/2007

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