Provider Demographics
NPI:1629308796
Name:SCHELLER DENTAL INC
Entity Type:Organization
Organization Name:SCHELLER DENTAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SEC/TREASRER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:MARILYN
Authorized Official - Last Name:SCHELLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-520-9226
Mailing Address - Street 1:4001 GEIST ROAD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99709-3552
Mailing Address - Country:US
Mailing Address - Phone:907-452-7955
Mailing Address - Fax:907-452-7958
Practice Address - Street 1:4001 GEIST ROAD
Practice Address - Street 2:SUITE 8
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99709-3552
Practice Address - Country:US
Practice Address - Phone:907-452-7955
Practice Address - Fax:907-452-9758
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-12
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Single Specialty