Healthcare Provider Details
I. General information
NPI: 1407070378
Provider Name (Legal Business Name): STEPHANIE SCHEICH DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/12/2007
Last Update Date: 03/05/2024
Certification Date: 03/05/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
562 E CASTLE PINES PKWY STE C8
CASTLE ROCK CO
80108-4609
US
IV. Provider business mailing address
250 MAX DR STE 202
CASTLE PINES CO
80108-9519
US
V. Phone/Fax
- Phone: 720-733-7799
- Fax: 720-733-0677
- Phone: 720-733-7799
- Fax: 720-733-0677
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | 8440 |
| License Number State | CO |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| License Number | 8440 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: