NPI age
19 years
Enumerated 2007-03-27
● Active
Type 1 · Individual
MR. Dustin Frederick Weitz, D.D.S., M.S.
Weitz is 1 of 1 dentist providers in Moscow and 1 of 48 in Idaho.
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
ID, MN
2 states
Status
Active
No deactivations on record
Last NPPES update
2020-10-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 48 active dentist providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
State licenses
2 states
Top 81% — 18% of peers are multi-state
Subspecialties
1
In the 20% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-03Enumerated in NPPES
2007
2026
Where they practice
Practice location
505 S Mountain View Rd Ste 4
Moscow, ID 838439205
Mailing address
505 S Mountain View Rd Ste 4
Moscow, ID 838439205
Additional practice locations
1 secondary location on file with NPPES.
Location 2
Division Of Endodontics, University Of Minnesota, 515 Delaware Ave Se 8-166 Moos Health Sciences Tower
Minneapolis, MN 55455
Specialties
-
Dentist PrimaryThe branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the...
-
DentistA dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 806107300 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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