Provider Demographics
NPI:1245384551
Name:SCHWEICKART, JAMES BENSON (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:BENSON
Last Name:SCHWEICKART
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:IRONTON
Mailing Address - State:OH
Mailing Address - Zip Code:45638-1533
Mailing Address - Country:US
Mailing Address - Phone:740-532-6003
Mailing Address - Fax:740-532-1157
Practice Address - Street 1:401 CENTER ST
Practice Address - Street 2:
Practice Address - City:IRONTON
Practice Address - State:OH
Practice Address - Zip Code:45638-1533
Practice Address - Country:US
Practice Address - Phone:740-532-6003
Practice Address - Fax:740-532-1157
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-01-97491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0887456Medicaid
OH2344449Medicaid