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NPI Code Detail

MEDICARE: MARTIN WEINBERG DDS INC

MEDICARE: MARTIN WEINBERG DDS INC
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
11223G0001XGeneral Practice Dentistry10278TX

General Provider Information

NPI Number : 1669432217
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARTIN WEINBERG DDS INC
Provider Business Mailing Address
First Line : 12221 MERIT DR
Second Line : SUITE 470
City : DALLAS
State : TX
Zip : 75251-2202
Country : US
Telephone Number : 972-627-6440
Fax Number :
Provider Business Practice Location Address
First Line : 12221 MERIT DR
Second Line : SUITE 470
City : DALLAS
State : TX
Zip : 75251-2202
Country : US
Telephone Number : 972-627-6440
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. MARTIN WEINBERG
Credential : DDS
Telephone Number : 972-628-6440
Provider Enumeration Date : 03/27/2006
Last Update Date : 08/22/2020

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Directions to “MARTIN WEINBERG DDS INC ” Practice Location

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