Bruce A Weitz Dds Inc in Lorain - Dentist

Bruce A Weitz Dds Inc - NPI 1114191889

Bruce A Weitz Dds Inc is a Dentist in Lorain, Ohio. Bruce A Weitz Dds Inc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Bruce A Weitz Dds Inc is 1114191889. The last update date is 2008-04-14.

Bruce A Weitz Dds Inc's current location address is 1700 Cooper Foster Park Rd W, Lorain, Ohio. You can contact this provider via phone number 4402821396 and fax number 4402821396. The mailing address for Bruce A Weitz Dds Inc is 1700 Cooper Foster Park Rd W, Lorain, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Organization Bruce A Weitz Dds Inc
Address 1700 Cooper Foster Park Rd W, Lorain, Ohio
Phone Number 4402821396
Fax Number 4402821396
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Weitz A Bruce
Credentials DDS
Telephone Number 4402821396

NPI Number Detail

NPI Number 1114191889
Provider Enumeration Date 2008-04-14
Last Updated Date 2008-04-14

Provider Mailing Address Detail

Address 1700 Cooper Foster Park Rd W
City Lorain
State Ohio (OH)
Post Code 440533679
Phone Number 4402821396
Fax Number 4402821396

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 30016126
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
872908 OH MEDICARE

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FAQs about Bruce A Weitz Dds Inc

What is the unique identification code assigned to Bruce A Weitz Dds Inc by the Centers for Medicare & Medicaid Services?

The Bruce A Weitz Dds Inc has been issued the NPI (National Provider Identifier) 1114191889. 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 Bruce A Weitz Dds Inc?

The Bruce A Weitz Dds Inc is situated at 1700 Cooper Foster Park Rd W, in the city of Lorain, state of OH, with the zip code 440533679.

What is the area of specialization for Bruce A Weitz Dds Inc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Bruce A Weitz Dds Inc is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1114191889 to Bruce A Weitz Dds Inc?

The Centers for Medicare & Medicaid Services originally issued the 1114191889 to Bruce A Weitz Dds Inc on 2008-04-14.

As of what date were the details pertaining to Bruce A Weitz Dds Inc last refreshed?

The information related to the Bruce A Weitz Dds Inc, including its address, specialty, and other relevant details, was last updated on 2008-04-14.

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