Dr. Ivan S. Weiner , DDS
Dentist - General Practice • Stafford, VA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Ivan Weiner has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Ivan Weiner, DDS was a registered Dentist - General Practice practicing in Stafford, VA. Throughout an active medical career spanning 13 years, Dr. Weiner provided care at the practice location at 300 GARRISONVILLE RD until profile deactivation on 2020-08-17.
Practice Location & Contact Primary Location
300 Garrisonville Rd
Suite 101
Stafford, VA 225548903
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Stafford, VA
Practicing in Stafford, VA (3535 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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
Record deactivated on August 17, 2020
NPI status registered as active in NPPES database
Registered at 300 GARRISONVILLE RD, SUITE 101, STAFFORD, VA 225548903 (Tel: 5403718742)
Registered at 300 GARRISONVILLE RD, SUITE 101, STAFFORD, VA 225548903 (Tel: 5403718742)
Recorded as IVAN WEINER, D.D.S.
Dentist (License #4583 in VA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
300 Garrisonville Rd, Suite 101
Stafford, VA 225548903
Phone: 5403718742
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