MEDICARE: DR. ROBERT E SCHEDDIN DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DI02765500	NJ

General Provider Information

NPI Number	:	1033771852
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT E SCHEDDIN DMD

Provider Business Mailing Address
First Line	:	23 S WESTFIELD RD
Second Line	:
City	:	HOWELL
State	:	NJ
Zip	:	07731-2323
Country	:	US
Telephone Number	:	732-367-2571
Fax Number	:

Provider Business Practice Location Address
First Line	:	2046 W COUNTY LINE RD STE 2
Second Line	:
City	:	JACKSON
State	:	NJ
Zip	:	08527-2034
Country	:	US
Telephone Number	:	732-905-2488
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2019
Last Update Date	:	08/01/2019

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