Provider Demographics
NPI:1083877245
Name:SCHLICHER, JOHN WILLIAM JR (DMD, MS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:WILLIAM
Last Name:SCHLICHER
Suffix:JR
Gender:M
Credentials:DMD, MS
Other - Prefix:
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Mailing Address - Street 1:1210 HEARST DR
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-7558
Mailing Address - Country:US
Mailing Address - Phone:925-918-1338
Mailing Address - Fax:
Practice Address - Street 1:4487 STONERIDGE DR
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-8326
Practice Address - Country:US
Practice Address - Phone:925-846-3248
Practice Address - Fax:415-846-4117
Is Sole Proprietor?:No
Enumeration Date:2008-07-08
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA563561223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics