Active NPIIndividual providerSole proprietor

Dr. Mitchell L Weiner, DMD

Dentist, General Practice in Kendall Park, New Jersey

NPI Number1114056611
Practice location
3084 State Route 27, Suite #2, Kendall Park, NJ 08824-1657
Fax
732-297-4860
Last updated
July 8, 2007

Mitchell Louis Weiner is a Dentist, General Practice based in Kendall Park, NJ. Mitchell Louis Weiner practices in Kendall Park, NJ and has the professional credentials of DMD. The NPI Number for Mitchell Louis Weiner is 1114056611 and holds a License No. DI 17406 (NJ). The current practice location address for Mitchell Louis Weiner is 3084 State Route 27, Suite #2, Kendall Park, NJ 08824-1657 and can be reached out via phone at 732-297-4900 and via fax at 732-297-4860.

Provider Profile Details

NPI Number
1114056611
Provider Name
Mitchell Louis Weiner
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
3084 State Route 27, Suite #2, Kendall Park, NJ 08824-1657
Phone Number
732-297-4900
Fax Number
732-297-4860
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
March 2, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
3084 State Route 27
Suite #2
Kendall Park, NJ 08824-1657
Zip
08824-1657
Phone Number
732-297-4900
Fax Number
732-297-4860
Kendall Park, NJ 08824Get directions →

Provider Business Mailing Address Details

Address
3084 State Route 27
Suite #2
Kendall Park, NJ 08824-1657
City
Kendall Park
State
NJ
Zip
08824-1657
Phone Number
732-297-4900
Fax Number
732-297-4860

License Information

License Number
DI 17406
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Mitchell L Weiner, DMD?

The NPI number of Dr. Mitchell L Weiner, DMD is 1114056611. It was assigned on March 2, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Mitchell L Weiner, DMD?

Dr. Mitchell L Weiner, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number DI 17406.

Where does Dr. Mitchell L Weiner, DMD practice?

The practice location is 3084 State Route 27, Suite #2, Kendall Park, NJ 08824-1657. The office can be reached at 732-297-4900 (phone) or 732-297-4860 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114056611 directly on the NPPES registry website.

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