Provider Demographics
NPI:1750469177
Name:SCHELL, JOSEPH ALLAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:ALLAN
Last Name:SCHELL
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 1:7430 W FOREST HOME AVENUE
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53220-3358
Mailing Address - Country:US
Mailing Address - Phone:414-543-2500
Mailing Address - Fax:414-543-3256
Practice Address - Street 1:7430 W FOREST HOME AVENUE
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:WI
Practice Address - Zip Code:53220-3358
Practice Address - Country:US
Practice Address - Phone:414-543-2500
Practice Address - Fax:414-543-3256
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3969122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist