Provider Demographics
NPI:1225163496
Name:SCHWABE, STEVEN KIERAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:KIERAN
Last Name:SCHWABE
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 1:3898 SEDGWICK AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-4423
Mailing Address - Country:US
Mailing Address - Phone:718-543-0611
Mailing Address - Fax:718-543-0612
Practice Address - Street 1:3898 SEDGWICK AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-4423
Practice Address - Country:US
Practice Address - Phone:718-543-0611
Practice Address - Fax:718-543-0612
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY039666-1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist