Provider Demographics
NPI:1851827307
Name:SCHOENECKER, DONNA LYNN (PHDHP, MS)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:LYNN
Last Name:SCHOENECKER
Suffix:
Gender:F
Credentials:PHDHP, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4123 MOUNTAIN VIEW RD
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-9126
Mailing Address - Country:US
Mailing Address - Phone:717-525-4399
Mailing Address - Fax:
Practice Address - Street 1:4123 MOUNTAIN VIEW RD
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-9126
Practice Address - Country:US
Practice Address - Phone:717-525-4399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-03
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPHDH000545124Q00000X
PADH009756L124Q00000X
PADHA000161124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist