Healthcare Provider Details

I. General information

NPI: 1902847114
Provider Name (Legal Business Name): LAWRENCE EDWARD SCHEITLER DDS, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 02/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7391 HUNT CLUB LN
SEMINOLE FL
33776-4228
US

IV. Provider business mailing address

7391 HUNT CLUB LN
SEMINOLE FL
33776-4228
US

V. Phone/Fax

Practice location:
  • Phone: 727-392-8284
  • Fax:
Mailing address:
  • Phone: 727-392-8284
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number15134
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: