Provider Demographics
NPI:1538138052
Name:WEINMAN, DAVID MICHAEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MICHAEL
Last Name:WEINMAN
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 1:191 NORTH ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14201-1510
Mailing Address - Country:US
Mailing Address - Phone:716-883-9447
Mailing Address - Fax:
Practice Address - Street 1:191 NORTH ST
Practice Address - Street 2:SUITE 202
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14201-1510
Practice Address - Country:US
Practice Address - Phone:716-883-9447
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY036407-11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice