Provider Demographics
NPI:1306927793
Name:WEISS, NORMAN (DDS)
Entity type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:
Last Name:WEISS
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 1:12701 VETERANS MEMORIAL DR
Mailing Address - Street 2:#101
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77014-2037
Mailing Address - Country:US
Mailing Address - Phone:281-580-3180
Mailing Address - Fax:281-580-8891
Practice Address - Street 1:12701 VETERANS MEMORIAL DR
Practice Address - Street 2:#101
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77014-2037
Practice Address - Country:US
Practice Address - Phone:281-580-3180
Practice Address - Fax:281-580-8891
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX94601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice