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NPI Code Detail

MEDICARE: DR. STEVEN E SCHELLER DDS

MEDICARE:  DR. STEVEN E SCHELLER  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
1122300000XDentist3534AR
2122300000XDentistAK1022AK

General Provider Information

NPI Number : 1396840005
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN E SCHELLER DDS
Provider Business Mailing Address
First Line : 4001 GEIST RD STE 12
Second Line :
City : FAIRBANKS
State : AK
Zip : 99709-3569
Country : US
Telephone Number : 907-452-7955
Fax Number :
Provider Business Practice Location Address
First Line : 4001 GEIST RD STE 12
Second Line :
City : FAIRBANKS
State : AK
Zip : 99709-3569
Country : US
Telephone Number : 907-452-7955
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2006
Last Update Date : 09/27/2011

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Directions to “ DR. STEVEN E SCHELLER DDS” Practice Location

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