MEDICARE: ERNST SCHELB, D.M.D., INC

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	13398	TX

General Provider Information

NPI Number	:	1740403740
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ERNST SCHELB, D.M.D., INC

Provider Business Mailing Address
First Line	:	5418 TIMBER MEADOW
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78250-4202
Country	:	US
Telephone Number	:	210-349-1995
Fax Number	:

Provider Business Practice Location Address
First Line	:	6415 BABCOCK RD STE 105
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78249-2963
Country	:	US
Telephone Number	:	210-349-1995
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ERNST SCHELB
Credential	:	D.M.D.
Telephone Number	:	210-349-1995

Provider Enumeration Date	:	04/10/2007
Last Update Date	:	06/04/2010

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