MEDICARE: PHILLIP F SEHNERT DDS PA

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	261Q00000X	Clinic/Center	14245	TX

General Provider Information

NPI Number	:	1417041344
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHILLIP F SEHNERT DDS PA

Provider Business Mailing Address
First Line	:	501 W MAIN ST
Second Line	:
City	:	LEWISVILLE
State	:	TX
Zip	:	75057-3628
Country	:	US
Telephone Number	:	972-420-0042
Fax Number	:	972-420-9601

Provider Business Practice Location Address
First Line	:	501 W MAIN ST
Second Line	:
City	:	LEWISVILLE
State	:	TX
Zip	:	75057-3628
Country	:	US
Telephone Number	:	972-420-0042
Fax Number	:	972-420-9601

Authorized Official
Title or Position	:	OWNER/DENTIST
Name	:	PROF. PHILLIP FREDRICK SEHNERT
Credential	:	DDS
Telephone Number	:	972-420-0042

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	06/03/2013

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