Provider Demographics
NPI:1588683692
Name:SCHAPANSKY, WELDON K (DDS)
Entity Type:Individual
Prefix:DR
First Name:WELDON
Middle Name:K
Last Name:SCHAPANSKY
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 1:6099 N 1ST ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-5462
Mailing Address - Country:US
Mailing Address - Phone:559-431-1400
Mailing Address - Fax:559-431-1590
Practice Address - Street 1:6099 N 1ST ST
Practice Address - Street 2:SUITE 104
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-5462
Practice Address - Country:US
Practice Address - Phone:559-431-1400
Practice Address - Fax:559-431-1590
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA215071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice