Provider Demographics
NPI:1295859510
Name:FOUNTAIN VIEW DENTAL, DANA A. WEINREICH, DDS, PC
Entity Type:Organization
Organization Name:FOUNTAIN VIEW DENTAL, DANA A. WEINREICH, DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANA
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:WEINREICH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:480-837-1315
Mailing Address - Street 1:12035 N SAGUARO BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FOUNTAIN HILLS
Mailing Address - State:AZ
Mailing Address - Zip Code:85268-4682
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12035 N SAGUARO BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:FOUNTAIN HILLS
Practice Address - State:AZ
Practice Address - Zip Code:85268-4682
Practice Address - Country:US
Practice Address - Phone:480-837-1315
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ49651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty