Healthcare Provider Details

I. General information

NPI: 1275241374
Provider Name (Legal Business Name): JEFFREY M SCHOTT DDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2022
Last Update Date: 11/08/2022
Certification Date: 11/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7037 CANAL BLVD STE 208
NEW ORLEANS LA
70124-3469
US

IV. Provider business mailing address

7037 CANAL BLVD STE 208
NEW ORLEANS LA
70124-3469
US

V. Phone/Fax

Practice location:
  • Phone: 504-282-1722
  • Fax:
Mailing address:
  • Phone: 504-282-1722
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number
License Number State

VIII. Authorized Official

Name: BENJAMIN TUINEI
Title or Position: CREDENTIALING ASSISTANT
Credential:
Phone: 602-750-6897