Provider Demographics
NPI:1437245255
Name:SCHILLINGER, RICHARD LYNN (DDS)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:LYNN
Last Name:SCHILLINGER
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 1:74 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:NY
Mailing Address - Zip Code:14414-1136
Mailing Address - Country:US
Mailing Address - Phone:585-226-3113
Mailing Address - Fax:
Practice Address - Street 1:74 W MAIN ST
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:NY
Practice Address - Zip Code:14414-1136
Practice Address - Country:US
Practice Address - Phone:585-226-3113
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0271411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice