Provider Demographics
NPI:1437371499
Name:GABRIEL SCHLITT, JASMINE MARY (DDS)
Entity Type:Individual
Prefix:DR
First Name:JASMINE
Middle Name:MARY
Last Name:GABRIEL SCHLITT
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 1:303 E. COLUMBIA ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH WHITLEY
Mailing Address - State:IN
Mailing Address - Zip Code:46787-1352
Mailing Address - Country:US
Mailing Address - Phone:260-723-5223
Mailing Address - Fax:
Practice Address - Street 1:303 E. COLUMBIA ST
Practice Address - Street 2:
Practice Address - City:SOUTH WHITLEY
Practice Address - State:IN
Practice Address - Zip Code:46787-1352
Practice Address - Country:US
Practice Address - Phone:260-723-5223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12009989A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice