Provider Demographics
NPI:1417041344
Name:PHILLIP F SEHNERT DDS PA
Entity Type:Organization
Organization Name:PHILLIP F SEHNERT DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:PROF
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:FREDRICK
Authorized Official - Last Name:SEHNERT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-420-0042
Mailing Address - Street 1:501 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75057-3628
Mailing Address - Country:US
Mailing Address - Phone:972-420-0042
Mailing Address - Fax:972-420-9601
Practice Address - Street 1:501 W MAIN ST
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75057-3628
Practice Address - Country:US
Practice Address - Phone:972-420-0042
Practice Address - Fax:972-420-9601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14245261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center