Provider Demographics
NPI:1689330367
Name:SHOENBERGER DENTAL CARE LLC
Entity Type:Organization
Organization Name:SHOENBERGER DENTAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:KEVIN
Authorized Official - Last Name:SHOENBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:610-751-8088
Mailing Address - Street 1:4473 FARVIEW CT
Mailing Address - Street 2:
Mailing Address - City:EMMAUS
Mailing Address - State:PA
Mailing Address - Zip Code:18049-5262
Mailing Address - Country:US
Mailing Address - Phone:610-751-8088
Mailing Address - Fax:
Practice Address - Street 1:2406 HAMILTON ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-6214
Practice Address - Country:US
Practice Address - Phone:610-435-9914
Practice Address - Fax:610-435-3228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-16
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental