Provider Demographics
NPI:1073278917
Name:DAVID DIEHL DMD & JOSEPH L. WEBER DMD PLLC
Entity type:Organization
Organization Name:DAVID DIEHL DMD & JOSEPH L. WEBER DMD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:DIEHL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:775-777-6873
Mailing Address - Street 1:PO BOX 8270
Mailing Address - Street 2:
Mailing Address - City:SPRING CREEK
Mailing Address - State:NV
Mailing Address - Zip Code:89815-0005
Mailing Address - Country:US
Mailing Address - Phone:775-738-8888
Mailing Address - Fax:
Practice Address - Street 1:900 5TH ST
Practice Address - Street 2:
Practice Address - City:ELKO
Practice Address - State:NV
Practice Address - Zip Code:89801-3202
Practice Address - Country:US
Practice Address - Phone:775-738-8888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DAVID DIEHL DMD & JOSEPH L. WEBER DMD PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-11-04
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental