MEDICARE: THOMAS E. SCHINBECKLER DDS, PC

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

General Provider Information

NPI Number	:	1346304193
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THOMAS E. SCHINBECKLER DDS, PC

Provider Business Mailing Address
First Line	:	860 E 86TH ST
Second Line	:	SUITE 1
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46240-6859
Country	:	US
Telephone Number	:	317-575-2888
Fax Number	:	317-575-2898

Provider Business Practice Location Address
First Line	:	860 E 86TH ST
Second Line	:	SUITE 1
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46240-6859
Country	:	US
Telephone Number	:	317-575-2888
Fax Number	:	317-575-2898

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. THOMAS EDWARD SCHINBECKLER
Credential	:	DDS
Telephone Number	:	317-575-2888

Provider Enumeration Date	:	12/19/2006
Last Update Date	:	08/22/2020

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