Provider Demographics
NPI:1811078819
Name:WEBER, FRANK L (DDS)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:L
Last Name:WEBER
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 1:103 SOUTH BEDFORD RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-3440
Mailing Address - Country:US
Mailing Address - Phone:914-241-4800
Mailing Address - Fax:914-241-3613
Practice Address - Street 1:103 S BEDFORD RD
Practice Address - Street 2:
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-3440
Practice Address - Country:US
Practice Address - Phone:914-241-4800
Practice Address - Fax:914-241-3613
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0316261223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00586163Medicaid
NYD0D491Medicare PIN