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NPI Code Detail

MEDICARE: DR. HOWARD STANLEY WEISBART D.D.S.

MEDICARE:  DR. HOWARD STANLEY WEISBART  D.D.S.
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
11223E0200XEndodontics021-000979IL

General Provider Information

NPI Number : 1689880684
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HOWARD STANLEY WEISBART D.D.S.
Provider Business Mailing Address
First Line : 4905 OLD ORCHARD CTR
Second Line : SUITE 216
City : SKOKIE
State : IL
Zip : 60077-1458
Country : US
Telephone Number : 847-676-3636
Fax Number : 847-929-4237
Provider Business Practice Location Address
First Line : 4905 OLD ORCHARD CTR
Second Line : SUITE 216
City : SKOKIE
State : IL
Zip : 60077-1458
Country : US
Telephone Number : 847-676-3636
Fax Number : 847-929-4237
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2007
Last Update Date : 02/18/2013

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Directions to “ DR. HOWARD STANLEY WEISBART D.D.S.” Practice Location

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