Provider Demographics
NPI:1104912559
Name:WEIGLE, DAVID CHRISTOPHER (DMD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:CHRISTOPHER
Last Name:WEIGLE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 HERITAGE DR
Mailing Address - Street 2:SUITE 811
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-9220
Mailing Address - Country:US
Mailing Address - Phone:610-327-1616
Mailing Address - Fax:610-327-1617
Practice Address - Street 1:800 HERITAGE DR
Practice Address - Street 2:SUITE 811
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-9220
Practice Address - Country:US
Practice Address - Phone:610-327-1616
Practice Address - Fax:610-327-1617
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2017-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS027862L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist