# WEISS DENTAL & ORTHODONTICS PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Courtesy Dental & Orthodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265495964
- **Authorized official:** TERRI GARDINER (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (407) 772-5124

## Contact information

- **Practice address:** 2811 N GREEN VALLEY PKWY, HENDERSON, NV 89014-0401
- **Practice address phone:** (702) 434-2219
- **Practice address fax:** (702) 456-6160
- **Mailing address:** 926 GREAT POND DR, SUITE 2003, ALTAMONTE SPRINGS, FL 32714-7244
- **Mailing address phone:** (407) 772-5124
- **Mailing address fax:** (407) 788-3572

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 04/11/2006
- **Last updated:** 01/12/2011