Provider Demographics
NPI:1679654859
Name:SCHIMPFHAUSER, ERIC T (DDS)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:T
Last Name:SCHIMPFHAUSER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8175-A KENSINGTON DR.
Mailing Address - Street 2:CURETON TOWN CENTER
Mailing Address - City:WAXHAW
Mailing Address - State:NC
Mailing Address - Zip Code:28173
Mailing Address - Country:US
Mailing Address - Phone:704-843-3270
Mailing Address - Fax:704-843-0412
Practice Address - Street 1:8175 KENSINGTON DR
Practice Address - Street 2:#A
Practice Address - City:WAXHAW
Practice Address - State:NC
Practice Address - Zip Code:28173-0103
Practice Address - Country:US
Practice Address - Phone:704-843-3270
Practice Address - Fax:704-843-0412
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC70291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice