Provider Demographics
NPI:1629082938
Name:CHESKIS, HOOPER, SCHATZ, RUSSELL & ASSC., LLC
Entity Type:Organization
Organization Name:CHESKIS, HOOPER, SCHATZ, RUSSELL & ASSC., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:Y
Authorized Official - Last Name:CHESKIS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:410-647-4269
Mailing Address - Street 1:22 TRUCK HOUSE RD STE 3
Mailing Address - Street 2:
Mailing Address - City:SEVERNA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:21146-2728
Mailing Address - Country:US
Mailing Address - Phone:410-464-7426
Mailing Address - Fax:410-544-5910
Practice Address - Street 1:22 TRUCK HOUSE RD STE 3
Practice Address - Street 2:
Practice Address - City:SEVERNA PARK
Practice Address - State:MD
Practice Address - Zip Code:21146-2728
Practice Address - Country:US
Practice Address - Phone:410-464-7426
Practice Address - Fax:410-544-5910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty