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NPI Code Detail

MEDICARE: COURTNEY SCHIRO D.D.S.

MEDICARE: COURTNEY SCHIRO 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
1122300000XDentist3383AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15W961OTHERARBCBS
21400699OTHERARUCCI
33383OTHERARDELTA

General Provider Information

NPI Number : 1447319561
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY SCHIRO D.D.S.
Provider Business Mailing Address
First Line : 1607 E RAINFOREST DR
Second Line :
City : FAYETTEVILLE
State : AR
Zip : 72703-5385
Country : US
Telephone Number : 479-582-0600
Fax Number : 479-443-4630
Provider Business Practice Location Address
First Line : 1607 E RAINFOREST DR
Second Line :
City : FAYETTEVILLE
State : AR
Zip : 72703-5385
Country : US
Telephone Number : 479-582-0600
Fax Number : 479-443-4630
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2006
Last Update Date : 12/13/2023

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Directions to “ COURTNEY SCHIRO D.D.S.” Practice Location

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