Healthcare Provider Details

I. General information

NPI: 1447239892
Provider Name (Legal Business Name): JAMES BERNARD SCHWEIGERT DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 W STATE ST
SAINT JOHNS MI
48879-0202
US

IV. Provider business mailing address

PO BOX 202
SAINT JOHNS MI
48879-0202
US

V. Phone/Fax

Practice location:
  • Phone: 989-224-7464
  • Fax: 989-224-7464
Mailing address:
  • Phone: 989-224-7464
  • Fax: 989-224-9452

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number9788
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: