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NPI Code Detail

MEDICARE: DR. KEVIN JOHN SCHELLHAAS D.D.S.

MEDICARE:  DR. KEVIN JOHN SCHELLHAAS  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
11223G0001XGeneral Practice Dentistry4006LA

General Provider Information

NPI Number : 1568458560
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEVIN JOHN SCHELLHAAS D.D.S.
Provider Business Mailing Address
First Line : 343 METAIRIE RD
Second Line :
City : METAIRIE
State : LA
Zip : 70005-4330
Country : US
Telephone Number : 504-887-1272
Fax Number : 504-835-1591
Provider Business Practice Location Address
First Line : 343 METAIRIE RD
Second Line :
City : METAIRIE
State : LA
Zip : 70005-4330
Country : US
Telephone Number : 504-887-1272
Fax Number : 504-835-1591
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2005
Last Update Date : 06/27/2020

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Directions to “ DR. KEVIN JOHN SCHELLHAAS D.D.S.” Practice Location

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