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Contact Information

DUSTIN F WEITZ, D.D.S., M.S.
505 S MOUNTAIN VIEW RD STE 4
MOSCOW, ID83843-9205
 Phone: 208-882-2986
 Fax: 208-882-2987
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for DUSTIN F WEITZ · (Male)

NPI # 1952429946
Status Active
Credentials D.D.S., M.S.
Entity Individual
Enumeration date 03/27/2007
Last updated 10/03/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • ID License # D-3556-EN
  • MN License # D13926
  • ID Medicaid 806107300
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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