Provider Demographics
NPI:1063659100
Name:DONALD W SCHIESS DDS PC
Entity Type:Organization
Organization Name:DONALD W SCHIESS DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:SCHIESS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:951-698-8418
Mailing Address - Street 1:39872 LOS ALAMOS RD
Mailing Address - Street 2:SUITE A-1
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-5871
Mailing Address - Country:US
Mailing Address - Phone:951-698-8418
Mailing Address - Fax:
Practice Address - Street 1:39872 LOS ALAMOS RD
Practice Address - Street 2:SUITE A-1
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-5871
Practice Address - Country:US
Practice Address - Phone:951-698-8418
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-12
Last Update Date:2009-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37912122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty