DR. EDWARD JACK DWECK D.D.S. NPI 1700960929

NPI Information

  • NPI: 1700960929
  • Provider Name: DR. EDWARD JACK DWECK, D.D.S.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • CLIA Number: 33D2299384
  • Address: 520 ROUTE 67
    MALTA, NY
    ZIP 12020
  • Phone: (518) 899-7739

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NPI Details

DR. Edward Jack Dweck, D.D.S. is a general practice dentist in Malta, NY. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Edward Jack Dweck, D.D.S. NPI is 1700960929. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

520 ROUTE 67
MALTA, NY
ZIP 12020
Phone: (518) 899-7739

The CLIA number assigned to this NPI record is 33D2299384 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice021434NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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