MEDICARE: CYNTHIA L WEIDEMAN 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
1	1223P0221X	Pediatric Dentistry	37753	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	528432	OTHER	CA	UNITED CONCORDIA

General Provider Information

NPI Number	:	1578555629
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA L WEIDEMAN D.D.S.

Provider Business Mailing Address
First Line	:	7916 PEBBLE BEACH DR
Second Line	:	SUITE 101
City	:	CITRUS HEIGHTS
State	:	CA
Zip	:	95610-7790
Country	:	US
Telephone Number	:	916-962-0577
Fax Number	:	916-962-0584

Provider Business Practice Location Address
First Line	:	7916 PEBBLE BEACH DR
Second Line	:	SUITE 101
City	:	CITRUS HEIGHTS
State	:	CA
Zip	:	95610-7790
Country	:	US
Telephone Number	:	916-962-0577
Fax Number	:	916-962-0584

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1710973227 — DR. JENNIFER FOX MCCARTHY
Practice Location Address:

7916 PEBBLE BEACH DR STE 101
CITRUS HEIGHTS, CA
95610-7790

Practice Phone: 916-962-0577
Practice Fax:

1659390011 — DR. WAYNE LOUIS RIGGERT D.D.S
Practice Location Address:

7916 PEBBLE BEACH DR STE 202
CITRUS HEIGHTS, CA
95610-7790

Practice Phone: 916-967-8116
Practice Fax:

1255343414 — DR. KELVIN A. TSE D.D.S.
Practice Location Address:

7916 PEBBLE BEACH DR , SUITE #103
CITRUS HEIGHTS, CA
95610-7790

Practice Phone: 916-967-8888
Practice Fax: 916-966-4501

1578575023 — WEIDEMAN PROFESSIONAL DENTAL CORPORATION
Practice Location Address:

7916 PEBBLE BEACH DR , SUITE 101
CITRUS HEIGHTS, CA
95610-7790

Practice Phone: 916-962-0577
Practice Fax:

1992855936 — DR. WILLIAM H SWEARINGEN DDS
Practice Location Address:

7916 PEBBLE BEACH DR , SUITE 203
CITRUS HEIGHTS, CA
95610-7790

Practice Phone: 916-966-1175
Practice Fax: 916-966-1308

1801916986 — ELAHEH SAMSANI DDS
Practice Location Address:

7916 PEBBLE BEACH DR STE 104
CITRUS HEIGHTS, CA
95610-7790

Practice Phone: 916-962-0545
Practice Fax: 916-962-0927

Directions to “ CYNTHIA L WEIDEMAN D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.