Provider Demographics
NPI:1346705373
Name:WEYMAN, DREW MICHAEL (DMD, MD)
Entity type:Individual
Prefix:DR
First Name:DREW
Middle Name:MICHAEL
Last Name:WEYMAN
Suffix:
Gender:M
Credentials:DMD, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:291 FARMINGTON AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06032-1947
Mailing Address - Country:US
Mailing Address - Phone:860-678-7528
Mailing Address - Fax:855-811-2122
Practice Address - Street 1:291 FARMINGTON AVE STE 2
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06032-1947
Practice Address - Country:US
Practice Address - Phone:860-678-7528
Practice Address - Fax:855-811-2122
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-04
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT145181223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty