Provider Demographics
NPI:1205954971
Name:SCHILLING, ELAINE RENEE (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:ELAINE
Middle Name:RENEE
Last Name:SCHILLING
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 N MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:MUENSTER
Mailing Address - State:TX
Mailing Address - Zip Code:76252-2252
Mailing Address - Country:US
Mailing Address - Phone:940-759-2303
Mailing Address - Fax:940-759-2399
Practice Address - Street 1:134 N MAPLE ST
Practice Address - Street 2:
Practice Address - City:MUENSTER
Practice Address - State:TX
Practice Address - Zip Code:76252-2252
Practice Address - Country:US
Practice Address - Phone:940-759-2303
Practice Address - Fax:940-759-2399
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2014-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX183091223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
84D639OtherBCBS