Provider Demographics
NPI:1497886345
Name:ALAN SCHAEPRKLAUS, DDS, PA
Entity Type:Organization
Organization Name:ALAN SCHAEPRKLAUS, DDS, PA
Other - Org Name:SOUTH VENICE DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCHAEPERKLAUS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:941-484-4357
Mailing Address - Street 1:415 COMMERCIAL CT
Mailing Address - Street 2:SUITE B
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34292-1654
Mailing Address - Country:US
Mailing Address - Phone:941-484-4357
Mailing Address - Fax:941-485-3858
Practice Address - Street 1:415 COMMERCIAL CT
Practice Address - Street 2:SUITE B
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34292-1654
Practice Address - Country:US
Practice Address - Phone:941-484-4357
Practice Address - Fax:941-485-3858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL75961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty