Provider Demographics
NPI:1841429214
Name:SCHOCH, KRISTIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:
Last Name:SCHOCH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MRS
Other - First Name:KRISTIN
Other - Middle Name:
Other - Last Name:SCHOCH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:1700 E INTERSTATE AVE
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58503
Mailing Address - Country:US
Mailing Address - Phone:701-260-1976
Mailing Address - Fax:
Practice Address - Street 1:1700 E INTERSTATE AVE
Practice Address - Street 2:STE 1
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58503-1207
Practice Address - Country:US
Practice Address - Phone:701-222-4746
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-07
Last Update Date:2016-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND2055122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist