Organization
DENTISTRYONE OF MAINE DEREK WEIGAND PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK WEIGAND (OWNER)
(877) 712-7875
Entity
Organization
Contact information
Practice address
443 WESTERN AVE # 1062, SOUTH PORTLAND, ME 04106-1726
(877) 712-7875
Mailing address
20 HIGHLAND AVE, METUCHEN, NJ 08840-1949
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
Other
Enumeration date
08/06/2024
Last updated
05/13/2025
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