Peter Weisbruch, DDS

General Practice Dentistry · Port Orange, FL

Individual Active NPI

NPI number 1295886760

Practice location

6495 Longlake Drive
Port Orange, FL 32128
Phone
(386) 290-0774

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NPI record

NPI
1295886760
Entity type
Individual (Type 1)
Enumeration date
January 13, 2007
Last updated
December 18, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 9352 FL

About Dr. Weisbruch

Peter Weisbruch, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 6495 Longlake Drive, Port Orange, FL 32128. The NPI number 1295886760 was assigned on January 13, 2007 and the record was last updated on December 18, 2023.

Dr. Weisbruch lists a license in the registry: #9352 (FL) 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 Peter Weisbruch, DDS?

The NPI number is 1295886760.

What is the phone number of Dr. Weisbruch?

The phone number listed for the practice location is (386) 290-0774.

Where is Dr. Weisbruch located?

6495 Longlake Drive, Port Orange, FL 32128.

What is the taxonomy code for Dr. Weisbruch?

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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