Provider Demographics
NPI:1598186470
Name:JOHN M SCHIEFELBEIN, DMD, PLLC
Entity Type:Organization
Organization Name:JOHN M SCHIEFELBEIN, DMD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER MANAGER/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHIEFELBEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:509-548-5841
Mailing Address - Street 1:PO BOX 787
Mailing Address - Street 2:
Mailing Address - City:LEAVENWORTH
Mailing Address - State:WA
Mailing Address - Zip Code:98826-0787
Mailing Address - Country:US
Mailing Address - Phone:509-548-5841
Mailing Address - Fax:509-548-1064
Practice Address - Street 1:246 DIVISION ST
Practice Address - Street 2:
Practice Address - City:LEAVENWORTH
Practice Address - State:WA
Practice Address - Zip Code:98826-1426
Practice Address - Country:US
Practice Address - Phone:509-548-5841
Practice Address - Fax:509-548-1064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-19
Last Update Date:2013-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental