Provider Demographics
NPI:1053500140
Name:WEYANT, ANNETTE KADAR (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANNETTE
Middle Name:KADAR
Last Name:WEYANT
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 HUFF AVENUE
Mailing Address - Street 2:SUITE #1
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-5318
Mailing Address - Country:US
Mailing Address - Phone:724-836-3368
Mailing Address - Fax:724-836-1209
Practice Address - Street 1:80 HUFF AVENUE
Practice Address - Street 2:SUITE #1
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-5318
Practice Address - Country:US
Practice Address - Phone:724-836-3368
Practice Address - Fax:724-836-1209
Is Sole Proprietor?:No
Enumeration Date:2007-10-15
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABK6090055122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist