Healthcare Provider Details

I. General information

NPI: 1346304193
Provider Name (Legal Business Name): THOMAS E. SCHINBECKLER DDS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

860 E 86TH ST SUITE 1
INDIANAPOLIS IN
46240-6859
US

IV. Provider business mailing address

860 E 86TH ST SUITE 1
INDIANAPOLIS IN
46240-6859
US

V. Phone/Fax

Practice location:
  • Phone: 317-575-2888
  • Fax: 317-575-2898
Mailing address:
  • Phone: 317-575-2888
  • Fax: 317-575-2898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. THOMAS EDWARD SCHINBECKLER
Title or Position: PRESIDENT
Credential: DDS
Phone: 317-575-2888