Provider Demographics
NPI:1356465314
Name:WEINREICH, DANA ANTHONY (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:ANTHONY
Last Name:WEINREICH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15542 E ROBIN DR
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN HILLS
Mailing Address - State:AZ
Mailing Address - Zip Code:85268-2171
Mailing Address - Country:US
Mailing Address - Phone:480-837-1380
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:
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4965122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist