Provider Demographics
NPI:1841397544
Name:SCHILLER, MARC IRA (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:IRA
Last Name:SCHILLER
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 1:4 RENAULT DR
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-4034
Mailing Address - Country:US
Mailing Address - Phone:973-884-0180
Mailing Address - Fax:
Practice Address - Street 1:7815 5TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-3703
Practice Address - Country:US
Practice Address - Phone:718-745-4422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0368191223X0400X
NJ22DI013684001223X0400X
PADS027104L1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics