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NPI Code Detail

MEDICARE: DR. STEVEN EDWARD WEINBERG D.D.S.

MEDICARE: DR. STEVEN EDWARD WEINBERG 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
1122300000XDentist4768TNV
2122300000XDentist5765FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100000027568OTHERNVUNITED CONCORDIA

General Provider Information

NPI Number : 1740203256
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN EDWARD WEINBERG D.D.S.
Provider Business Mailing Address
First Line : 8929 ADOBE GRANDE ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89131-3901
Country : US
Telephone Number : 702-656-8265
Fax Number :
Provider Business Practice Location Address
First Line : 4955 S DURANGO DR
Second Line : SUITE 201
City : LAS VEGAS
State : NV
Zip : 89113-0152
Country : US
Telephone Number : 702-933-7275
Fax Number : 702-933-0596
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 07/08/2007

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Directions to “ DR. STEVEN EDWARD WEINBERG D.D.S.” Practice Location

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