Provider Demographics
NPI:1366492332
Name:DRS SCHWARTZ AND SCHEKLUN ASSOCIATES
Entity Type:Organization
Organization Name:DRS SCHWARTZ AND SCHEKLUN ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:SCHELKUN
Authorized Official - Suffix:
Authorized Official - Credentials:MD, DDS
Authorized Official - Phone:215-672-6560
Mailing Address - Street 1:HOLY REDEEMER HOSPITAL MEDICAL OFFICE BUILDING
Mailing Address - Street 2:1650 HUNTINGDON PIKE SUITE 219
Mailing Address - City:MEADOWBROOK
Mailing Address - State:PA
Mailing Address - Zip Code:19046
Mailing Address - Country:US
Mailing Address - Phone:215-938-7860
Mailing Address - Fax:
Practice Address - Street 1:158 YORK RD
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-4521
Practice Address - Country:US
Practice Address - Phone:215-672-6560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA046842Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER