MEDICARE: DR. HOWARD INGRAM SCHILLING FINE D.M.D.

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	048245	NY

General Provider Information

NPI Number	:	1417018177
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOWARD INGRAM SCHILLING FINE D.M.D.

Provider Business Mailing Address
First Line	:	14 WILLOWBROOK RD
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10605-5416
Country	:	US
Telephone Number	:	914-393-0394
Fax Number	:

Provider Business Practice Location Address
First Line	:	15 FISHER LN
Second Line	:	1ST FLOOR
City	:	WHITE PLAINS
State	:	NY
Zip	:	10603-2222
Country	:	US
Telephone Number	:	914-949-1164
Fax Number	:

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

Provider Enumeration Date	:	12/13/2006
Last Update Date	:	07/08/2007

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