Provider Demographics
NPI:1770679599
Name:SCHEMBARI, VINCENT A (DDS)
Entity Type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:A
Last Name:SCHEMBARI
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 1:535 MAIN STREET
Mailing Address - Street 2:SUITE 113
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-4335
Mailing Address - Country:US
Mailing Address - Phone:301-490-0044
Mailing Address - Fax:301-497-1900
Practice Address - Street 1:535 MAIN STREET
Practice Address - Street 2:SUITE 113
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-4335
Practice Address - Country:US
Practice Address - Phone:301-490-0044
Practice Address - Fax:301-497-1900
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD106801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice