Provider Demographics
NPI:1629133350
Name:SCHENDEL, STEPHEN ALFRED (MD, DDS)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:ALFRED
Last Name:SCHENDEL
Suffix:
Gender:M
Credentials:MD, DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:54 LOYOLA AVE
Mailing Address - Street 2:
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-3811
Mailing Address - Country:US
Mailing Address - Phone:650-248-3727
Mailing Address - Fax:650-261-1031
Practice Address - Street 1:770 WELCH RD
Practice Address - Street 2:SUITE 400
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1511
Practice Address - Country:US
Practice Address - Phone:650-723-5824
Practice Address - Fax:650-725-6605
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2007-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA051223P0106X
CAG55292208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology