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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. DUSTIN FREDERICK WEITZ, D.D.S., M.S.

Active

MR. DUSTIN FREDERICK WEITZ, D.D.S., M.S. is a Endodontics healthcare provider located in MOSCOW, Idaho. NPI 1952429946 is currently active in the NPPES registry. Verify at CMS.

Endodontics · MOSCOW, ID

Registration Details

NPI Number
1952429946
Provider Type
Individual
Gender
Male
NPI Issued
Mar 27, 2007 (19.346680689306 yrs)
Last Updated
Oct 3, 2020
Licenses
D13926 (MN)
D-3556-EN (ID)

Practice Information

Address
505 S MOUNTAIN VIEW RD STE 4
MOSCOW, ID, 838439205
Browse ID providers · Browse ZIP 83843
Phone
2088822986
Fax
2088822987
Primary Specialty
Endodontics
1223E0200X
Additional Specialty
Endodontics
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.