Provider Demographics
NPI:1093852030
Name:SCHLEHUBER, DALE W (DDS)
Entity Type:Individual
Prefix:DR
First Name:DALE
Middle Name:W
Last Name:SCHLEHUBER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 957
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:MT
Mailing Address - Zip Code:59019-0957
Mailing Address - Country:US
Mailing Address - Phone:406-322-5221
Mailing Address - Fax:406-322-5221
Practice Address - Street 1:12 N. 4TH ST.
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:MT
Practice Address - Zip Code:59019
Practice Address - Country:US
Practice Address - Phone:406-322-5221
Practice Address - Fax:406-322-5221
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2016-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT15601223G0001X
WY11671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice