Richard Keith Weimar in Maple Grove - Dentist
Richard Keith Weimar - NPI 1376618579
Richard Keith Weimar is a Dentist in Maple Grove, Minnesota. Richard Keith Weimar practices all healthcare services and medical treatments related to Dentist. The NPI Number for Richard Keith Weimar is 1376618579. The last update date is 2023-05-17.
Richard Keith Weimar's current location address is 11256 86th Ave N, Maple Grove, Minnesota. You can contact this provider via phone number 7634939446. The mailing address for Richard Keith Weimar is 11256 86th Ave N, Maple Grove, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Keith Weimar |
|---|---|
| Address | 11256 86th Ave N, Maple Grove, Minnesota |
| Phone Number | 7634939446 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1376618579 |
|---|---|
| Provider Enumeration Date | 2006-11-22 |
| Last Updated Date | 2023-05-17 |
Provider Mailing Address Detail
| Address | 11256 86th Ave N |
|---|---|
| City | Maple Grove |
| State | Minnesota (MN) |
| Post Code | 553694510 |
| Phone Number | 7634939446 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 9589 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identification code assigned to Richard Keith Weimar by the Centers for Medicare & Medicaid Services?
The Richard Keith Weimar has been issued the NPI (National Provider Identifier) 1376618579. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Richard Keith Weimar?
The Richard Keith Weimar is situated at 11256 86Th Ave N, in the city of Maple Grove, state of MN, with the zip code 553694510.
What is the area of specialization for Richard Keith Weimar, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Richard Keith Weimar is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date did the Richard Keith Weimar receive its 1376618579 assignment from the Centers for Medicare & Medicaid Services?
The Richard Keith Weimar was assigned its 1376618579 by the Centers for Medicare & Medicaid Services on 2006-11-22.
As of what date was the information regarding Richard Keith Weimar, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Richard Keith Weimar, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-05-17.