Organization
LAWRENCE J WEISS DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE J WEISS DDS (DENTIST OWNER)
(516) 764-3062
Entity
Organization
Contact information
Practice address
3131 LAWSON BLVD, OCEANSIDE, NY 11572-3717
(516) 764-3062
(516) 764-0266
Mailing address
3131 LAWSON BLVD, OCEANSIDE, NY 11572-3717
(516) 764-3062
(516) 764-0266
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
043555
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01366169
—
NY
Enumeration date
11/30/2005
Last updated
08/22/2020
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