Provider Demographics
NPI:1235518267
Name:KURT E SCHABES, DDS, PLC
Entity Type:Organization
Organization Name:KURT E SCHABES, DDS, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KURT
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:SCHABES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:616-676-2223
Mailing Address - Street 1:PO BOX 158
Mailing Address - Street 2:
Mailing Address - City:ADA
Mailing Address - State:MI
Mailing Address - Zip Code:49301-0158
Mailing Address - Country:US
Mailing Address - Phone:616-676-2223
Mailing Address - Fax:
Practice Address - Street 1:7210 HEADLEY SE
Practice Address - Street 2:
Practice Address - City:ADA
Practice Address - State:MI
Practice Address - Zip Code:49301
Practice Address - Country:US
Practice Address - Phone:616-676-2223
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-22
Last Update Date:2015-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty