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NPI Code Detail

MEDICARE: DR. DAVID WEIDENTHAL DDS

MEDICARE: DR. DAVID WEIDENTHAL DDS
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
1122300000XDentist30019303OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649260241
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID WEIDENTHAL DDS
Provider Business Mailing Address
First Line : 300 LOCUST ST
Second Line : SUITE 430
City : AKRON
State : OH
Zip : 44302-1821
Country : US
Telephone Number : 330-535-7876
Fax Number : 330-535-7878
Provider Business Practice Location Address
First Line : 300 LOCUST ST
Second Line : SUITE 430
City : AKRON
State : OH
Zip : 44302-1821
Country : US
Telephone Number : 330-535-7876
Fax Number : 330-535-7878
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2005
Last Update Date : 07/08/2007

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Directions to “ DR. DAVID WEIDENTHAL DDS” Practice Location

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