Provider Demographics
NPI:1952772055
Name:RICHARD WEIGAND,DDS,PLLC
Entity Type:Organization
Organization Name:RICHARD WEIGAND,DDS,PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:D
Authorized Official - Last Name:WEIGAND
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:509-747-5812
Mailing Address - Street 1:2700 S SOUTHEAST BLVD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223-4984
Mailing Address - Country:US
Mailing Address - Phone:509-747-5812
Mailing Address - Fax:509-747-3153
Practice Address - Street 1:2700 S SOUTHEAST BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223-4984
Practice Address - Country:US
Practice Address - Phone:509-747-5812
Practice Address - Fax:509-747-3153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-14
Last Update Date:2016-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment