Provider Demographics
NPI:1730458936
Name:ELLIOT SCHLANG DDS PC
Entity Type:Organization
Organization Name:ELLIOT SCHLANG DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:ELLIOT
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:SCHLANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-227-9892
Mailing Address - Street 1:2550 W UNION HILLS DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027-5163
Mailing Address - Country:US
Mailing Address - Phone:877-227-9892
Mailing Address - Fax:623-321-6268
Practice Address - Street 1:232 MARKET ST
Practice Address - Street 2:BUILDING K, 2ND LEVEL
Practice Address - City:FLOWOOD
Practice Address - State:MS
Practice Address - Zip Code:39232-3339
Practice Address - Country:US
Practice Address - Phone:877-227-9892
Practice Address - Fax:623-321-6268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-19
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty