MEDICARE: DR. SCHUBERT LYNN SAPIAN DDS

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	122300000X	Dentist	20045	TX

General Provider Information

NPI Number	:	1083817266
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCHUBERT LYNN SAPIAN DDS

Provider Business Mailing Address
First Line	:	2410 BRADY LANE
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75052
Country	:	US
Telephone Number	:	817-919-7034
Fax Number	:	817-423-1583

Provider Business Practice Location Address
First Line	:	2410 BRADY LN
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75052-5009
Country	:	US
Telephone Number	:	817-919-7034
Fax Number	:	817-423-1583

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

Provider Enumeration Date	:	06/06/2007
Last Update Date	:	07/08/2007

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