# MICHAEL WEISS DDS PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942317813
- **Authorized official:** MICHAEL B WEISS DDS (PRESIDENT)
- **Authorized official phone:** (570) 455-6275

## Contact information

- **Practice address:** 14 SOUTH CEDAR ST, HAZLETON, PA 18201-6602
- **Practice address phone:** (570) 455-6275
- **Practice address fax:** (570) 455-6276
- **Mailing address:** 14 SOUTH CEDAR ST, HAZLETON, PA 18201-6602
- **Mailing address phone:** (570) 455-6275
- **Mailing address fax:** (570) 455-6276

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 08/24/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 006799 | DORAL DENTAL | — |
| 01 | — | 68403 | UNISON HEALTH PLAN | — |
| 01 | — | 971440 | UNITED CONCORDIA | — |