Provider Demographics
NPI:1699920660
Name:WEIMER, ALLAN DEAN (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:DEAN
Last Name:WEIMER
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 PARK AVE.
Mailing Address - Street 2:SUITE 104
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80487-5012
Mailing Address - Country:US
Mailing Address - Phone:970-879-4290
Mailing Address - Fax:970-879-6481
Practice Address - Street 1:100 PARK AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487-5012
Practice Address - Country:US
Practice Address - Phone:970-879-4290
Practice Address - Fax:970-879-6481
Is Sole Proprietor?:No
Enumeration Date:2008-11-18
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO003001223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics