Provider Demographics
NPI:1366659088
Name:DALL E WEECH, D.D.S., M.S.D., P.C.
Entity Type:Organization
Organization Name:DALL E WEECH, D.D.S., M.S.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DALL
Authorized Official - Middle Name:E
Authorized Official - Last Name:WEECH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MSD
Authorized Official - Phone:520-297-7752
Mailing Address - Street 1:6521 N CAMINO ARTURO
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-2013
Mailing Address - Country:US
Mailing Address - Phone:520-297-7752
Mailing Address - Fax:520-297-7473
Practice Address - Street 1:810 W 8TH ST
Practice Address - Street 2:
Practice Address - City:SAFFORD
Practice Address - State:AZ
Practice Address - Zip Code:85546-3109
Practice Address - Country:US
Practice Address - Phone:928-428-6169
Practice Address - Fax:928-428-6169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ12001223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty