Provider Demographics
NPI:1881777126
Name:WEISS, DANNY (DDS,MS)
Entity type:Individual
Prefix:DR
First Name:DANNY
Middle Name:
Last Name:WEISS
Suffix:
Gender:M
Credentials:DDS,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5885 RIDGEWAY CENTER PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38120-4055
Mailing Address - Country:US
Mailing Address - Phone:901-767-7370
Mailing Address - Fax:901-685-7854
Practice Address - Street 1:5885 RIDGEWAY CENTER PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120-4055
Practice Address - Country:US
Practice Address - Phone:901-767-7370
Practice Address - Fax:901-685-7854
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN18491223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics