Provider Demographics
NPI:1205358587
Name:SCHANTZ, MICHELE FERRER (DDS)
Entity Type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:FERRER
Last Name:SCHANTZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:MICHELE
Other - Middle Name:FERRER
Other - Last Name:SCHANTZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:PSC 80 BOX 10495
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96367-0007
Mailing Address - Country:US
Mailing Address - Phone:098-960-4817
Mailing Address - Fax:
Practice Address - Street 1:1615 TRUEMPER ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78236-5511
Practice Address - Country:US
Practice Address - Phone:210-292-0313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33024122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist