Provider Demographics
NPI:1144322728
Name:WEINZAPFEL, THOMAS H (DDS)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:H
Last Name:WEINZAPFEL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3413 GEORGETOWN RD
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46224-1639
Mailing Address - Country:US
Mailing Address - Phone:317-293-6195
Mailing Address - Fax:317-297-1454
Practice Address - Street 1:3413 GEORGETOWN RD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46224-1639
Practice Address - Country:US
Practice Address - Phone:317-293-6195
Practice Address - Fax:317-297-2843
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12006148122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist