Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1295886760 Individual Practitioner Male Practitioner

Dr. Peter Weisbruch , DDS

Dentist - General Practice • Port Orange, FL

Professional Overview & Biography Verified Profile Summary

Dr. Peter Weisbruch, DDS is a registered healthcare professional specializing in Dentist - General Practice in Port Orange, FL. Practice services are available at 6495 LONGLAKE DRIVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6495 Longlake Drive

Port Orange, FL 32128

Telephone 3862900774

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Port Orange, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
19 Specialists

Practicing in Port Orange, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL 9352

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location December 18, 2023

Registered at 6495 LONGLAKE DRIVE, PORT ORANGE, FL 32128 (Tel: 3862900774)

📍
Updated Business Mailing Address December 18, 2023

Registered at 6495 LONGLAKE DRIVE, PORT ORANGE, FL 32128 (Tel: 3862900774)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 200 W LAKE MARY BLVD, SANFORD, FL 327735925 (Tel: 4073301700)

📍
Updated Business Mailing Address July 08, 2007

Registered at 200 W LAKE MARY BLVD, SANFORD, FL 327735925

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PETER WEISBRUCH, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #9352 in FL)

🟢
Initial NPI Registration & Enumeration January 13, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295886760
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 13, 2007
Last Update: December 18, 2023
Sole Proprietor: Yes

Mailing Address

6495 Longlake Drive

Port Orange, FL 32128

Phone: 3862900774

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.