MEDICARE: DR. PETER LOUIS SCHARFENBERGER D.D.S.

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	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	032109	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316051519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER LOUIS SCHARFENBERGER D.D.S.

Provider Business Mailing Address
First Line	:	4770 SUNRISE HWY
Second Line	:	SUITE 201
City	:	MASSAPEQUA PARK
State	:	NY
Zip	:	11762-2911
Country	:	US
Telephone Number	:	516-798-4143
Fax Number	:	516-798-4296

Provider Business Practice Location Address
First Line	:	4770 SUNRISE HWY
Second Line	:	SUITE 201
City	:	MASSAPEQUA PARK
State	:	NY
Zip	:	11762-2911
Country	:	US
Telephone Number	:	516-798-4143
Fax Number	:	516-798-4296

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

Provider Enumeration Date	:	08/18/2006
Last Update Date	:	07/08/2007

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