Jonathan M. Weiss, DDS

General Practice Dentistry · Newburgh, NY

Individual Active NPI

NPI number 1104010487

Practice location

136 Lake St
Suite 11
Newburgh, NY 12550-5245
Phone
(845) 565-1677
Fax
(845) 565-5377

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NPI record

NPI
1104010487
Entity type
Individual (Type 1)
Enumeration date
August 30, 2007
Last updated
October 24, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 10131-1 NY

Mailing address

415 N Grand Ave
Pueblo, CO 81003-3111
Phone
(719) 562-4461
Fax
(719) 584-7694

About Dr. Weiss

Jonathan M. Weiss, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 136 Lake St, Suite 11, Newburgh, NY 12550-5245. The NPI number 1104010487 was assigned on August 30, 2007 and the record was last updated on October 24, 2007.

Dr. Weiss lists a license in the registry: #10131-1 (NY) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jonathan M. Weiss, DDS?

The NPI number is 1104010487.

What is the phone number of Dr. Weiss?

The phone number listed for the practice location is (845) 565-1677.

Where is Dr. Weiss located?

136 Lake St, Suite 11, Newburgh, NY 12550-5245.

What is the taxonomy code for Dr. Weiss?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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