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General NPI Number Information
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NPI Number | 1356546030
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Entity Type | Organization
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Legal Business Name | SCHOENFELDER RIVERFRONT DENTAL, P.C.
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Dates
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Enumeration Date | 06/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1014 W 8TH ST
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City | YANKTON
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State | SD
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Zip | 57078-3388
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Country | US
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Telephone | 605-665-4524
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Fax | 605-665-2981
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Provider Business Mailing Address
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Address Line | 1014 W 8TH ST
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City | YANKTON
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State | SD
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Zip | 57078-3388
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Country | US
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Telephone | 605-665-4524
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Fax | 605-665-2981
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRYAN EDWARD SCHOENFELDER
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Credential | DDS
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Telephone | 605-665-4524
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | M860
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License Number State | SD
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