MEDICARE: DR. MARK ALFRED SCHRIEFER D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	22800	TX

General Provider Information

NPI Number	:	1043332448
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK ALFRED SCHRIEFER D.D.S.

Provider Business Mailing Address
First Line	:	5636 SPRING VALLEY RD
Second Line	:	#25D
City	:	DALLAS
State	:	TX
Zip	:	75254-3170
Country	:	US
Telephone Number	:	972-980-1669
Fax Number	:	972-702-0662

Provider Business Practice Location Address
First Line	:	1243 E RED BIRD LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75241-2008
Country	:	US
Telephone Number	:	214-372-6062
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2007
Last Update Date	:	07/08/2007

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