Healthcare Provider Details

I. General information

NPI: 1043420623
Provider Name (Legal Business Name): MONICA DIANE SCHICK DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 INGOT DR
BLANDON PA
19510-9639
US

IV. Provider business mailing address

10 INGOT DR
BLANDON PA
19510-9639
US

V. Phone/Fax

Practice location:
  • Phone: 610-926-3226
  • Fax:
Mailing address:
  • Phone: 610-926-3226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDS028722L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: