Provider Demographics
NPI:1558448746
Name:AMSCHLER, DENNIS M (DDS)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:M
Last Name:AMSCHLER
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 1:14 S JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:PERRYVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63775-2515
Mailing Address - Country:US
Mailing Address - Phone:573-547-2344
Mailing Address - Fax:573-547-2344
Practice Address - Street 1:14 S JACKSON ST
Practice Address - Street 2:
Practice Address - City:PERRYVILLE
Practice Address - State:MO
Practice Address - Zip Code:63775-2515
Practice Address - Country:US
Practice Address - Phone:573-547-2344
Practice Address - Fax:573-547-2344
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO13450122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist