Micah Weisenberg, DDS
NPI 1588049233 · on the registry since 2015 · sole proprietor
Practice
- Address
- 1144 E Fort Union Blvd
Midvale, UT 84047 - Phone
- (801) 566-3118
- Organisation at this address
- Midvale Modern Dentistry, Llp
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Dentist
122300000X
- Also registered as
- Dentist
- Licence states on file
- MD, UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-05-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah