Provider Demographics
NPI:1790978385
Name:WILLIAM A. SCHIRO, D.D.S, P.L.L.C.
Entity Type:Organization
Organization Name:WILLIAM A. SCHIRO, D.D.S, P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORAL SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLAM
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:SCHIRO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:517-699-2700
Mailing Address - Street 1:6810 S CEDAR ST STE 5
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48911-6909
Mailing Address - Country:US
Mailing Address - Phone:517-699-2700
Mailing Address - Fax:517-699-1506
Practice Address - Street 1:6810 S CEDAR ST STE 5
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48911-6909
Practice Address - Country:US
Practice Address - Phone:517-699-2700
Practice Address - Fax:517-699-1506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-27
Last Update Date:2007-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0N87050Medicare PIN