Provider Demographics
NPI:1669686101
Name:SCHLECHT, LANA R (DDS)
Entity Type:Individual
Prefix:DR
First Name:LANA
Middle Name:R
Last Name:SCHLECHT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:ELLENDALE
Mailing Address - State:ND
Mailing Address - Zip Code:58436-0310
Mailing Address - Country:US
Mailing Address - Phone:701-349-3636
Mailing Address - Fax:701-349-2137
Practice Address - Street 1:210 MAIN STREET
Practice Address - Street 2:
Practice Address - City:ELLENDALE
Practice Address - State:ND
Practice Address - Zip Code:58436-0310
Practice Address - Country:US
Practice Address - Phone:701-349-3636
Practice Address - Fax:701-349-2137
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND17701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND40501Medicaid