Provider Demographics
NPI:1992840037
Name:SCHWEICHLER, LAURENCE PHILLIP (DDS)
Entity Type:Individual
Prefix:
First Name:LAURENCE
Middle Name:PHILLIP
Last Name:SCHWEICHLER
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 1:3144 CHURCH ST
Mailing Address - Street 2:PO BOX 25
Mailing Address - City:CALEDONIA
Mailing Address - State:NY
Mailing Address - Zip Code:14423-1013
Mailing Address - Country:US
Mailing Address - Phone:585-538-2130
Mailing Address - Fax:585-538-9765
Practice Address - Street 1:3144 CHURCH ST
Practice Address - Street 2:
Practice Address - City:CALEDONIA
Practice Address - State:NY
Practice Address - Zip Code:14423-1013
Practice Address - Country:US
Practice Address - Phone:585-538-2130
Practice Address - Fax:585-538-9765
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0377901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice