Provider Demographics
NPI:1467547224
Name:SCHEEL, GENE WAYNE (DMD)
Entity Type:Individual
Prefix:DR
First Name:GENE
Middle Name:WAYNE
Last Name:SCHEEL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 SE 131ST AVE
Mailing Address - Street 2:STE 207
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683-4004
Mailing Address - Country:US
Mailing Address - Phone:360-896-5150
Mailing Address - Fax:360-896-0253
Practice Address - Street 1:406 SE 131ST AVE
Practice Address - Street 2:STE 207
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98683-4004
Practice Address - Country:US
Practice Address - Phone:360-896-5150
Practice Address - Fax:360-896-0253
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA72821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA5019799OtherDSHS