Provider Demographics
NPI:1033383054
Name:KEVIN N. SCHIERLINGER, D.D.S., P.C.
Entity Type:Organization
Organization Name:KEVIN N. SCHIERLINGER, D.D.S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:N
Authorized Official - Last Name:SCHIERLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:248-828-8128
Mailing Address - Street 1:5895 JOHN R RD
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48085-3863
Mailing Address - Country:US
Mailing Address - Phone:248-828-8128
Mailing Address - Fax:248-828-9706
Practice Address - Street 1:5895 JOHN R RD
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48085-3863
Practice Address - Country:US
Practice Address - Phone:248-828-8128
Practice Address - Fax:248-828-9706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-22
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI129521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty