Healthcare Provider Details

I. General information

NPI: 1912749367
Provider Name (Legal Business Name): MORITZ SCHWEIGER DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2024
Last Update Date: 06/18/2024
Certification Date: 06/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3608 FARAON ST
SAINT JOSEPH MO
64506-3044
US

IV. Provider business mailing address

9811 KNOX DR
OVERLAND PARK KS
66212-5227
US

V. Phone/Fax

Practice location:
  • Phone: 816-364-6444
  • Fax:
Mailing address:
  • Phone: 636-229-2401
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number2024020977
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: