Provider Demographics
NPI:1104099639
Name:DANNY WEISS, D.D.S., P.C.
Entity type:Organization
Organization Name:DANNY WEISS, D.D.S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:
Authorized Official - Last Name:WEISS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-767-7370
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-04
Last Update Date:2008-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN18491223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty