Provider Demographics
NPI:1982778767
Name:WEINBERG, ARTHUR (DDS)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:
Last Name:WEINBERG
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 1:104 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:WOODCLIFF LAKE
Mailing Address - State:NJ
Mailing Address - Zip Code:07677-8005
Mailing Address - Country:US
Mailing Address - Phone:201-307-1919
Mailing Address - Fax:201-307-8741
Practice Address - Street 1:104 BROADWAY
Practice Address - Street 2:
Practice Address - City:WOODCLIFF LAKE
Practice Address - State:NJ
Practice Address - Zip Code:07677-8005
Practice Address - Country:US
Practice Address - Phone:201-307-1919
Practice Address - Fax:201-307-8741
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ110841223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics