Provider Demographics
NPI:1255385704
Name:SCHIRO, WILLIAM A (DDS)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:A
Last Name:SCHIRO
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 1:4305 FIVE OAKS DR
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48911-4214
Mailing Address - Country:US
Mailing Address - Phone:517-699-2700
Mailing Address - Fax:517-708-8527
Practice Address - Street 1:4305 FIVE OAKS DR
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48911-4214
Practice Address - Country:US
Practice Address - Phone:517-699-2700
Practice Address - Fax:517-708-8527
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-20
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIWS0130961223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI975331061OtherBLUE CARE NETWORK
MI4062983OtherAETNA
MI4308810OtherPHYSICIANS HEALTH PLAN
MI5331061OtherBLUE CROSS BLUE SHIELD
MI546703OtherUNITED CONCORDIA
MION87050Medicare ID - Type Unspecified