Provider Demographics
NPI:1134268725
Name:WEYANDT, FRANZ (DMD)
Entity type:Individual
Prefix:DR
First Name:FRANZ
Middle Name:
Last Name:WEYANDT
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2728 FORGUE DRIVE
Mailing Address - Street 2:SUITE 112
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564
Mailing Address - Country:US
Mailing Address - Phone:630-922-9100
Mailing Address - Fax:630-922-7103
Practice Address - Street 1:2879 W 95TH ST
Practice Address - Street 2:SUITE 131
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-9007
Practice Address - Country:US
Practice Address - Phone:630-922-9100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2009-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019-0240821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice