MR. DUSTIN FREDERICK WEITZ D.D.S. M.S. NPI 1952429946

NPI Information

NPI: 1952429946
Provider Name: MR. DUSTIN FREDERICK WEITZ, D.D.S., M.S.
Classification: Dentist - 1223E0200X
Entity Type: Individual

Specialization: Endodontics

Address:
505 S MOUNTAIN VIEW RD STE 4
MOSCOW, ID
ZIP 83843
Phone: (208) 882-2986
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MR. Dustin Frederick Weitz, D.D.S., M.S. is an endodontics dentist in Moscow, ID. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. MR. Dustin Frederick Weitz, D.D.S., M.S. NPI is 1952429946. 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:

505 S MOUNTAIN VIEW RD STE 4
MOSCOW, ID
ZIP 83843-205
Phone: (208) 882-2986
Fax: (208) 882-2987

The enumeration date for this NPI number is 3/27/2007 and was last updated on 10/3/2020.

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
1	122300000X	Dentist		D13926	MINNESOTA	No
2	1223E0200X	Dentist	Endodontics	D-3556-EN	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	806107300	MEDICAID	IDAHO

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: 11/14/2023

NPI Synchronization or Removal

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