Provider Demographics
NPI:1255611075
Name:SCHAPANSKY, SCOTT D (DDS)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:D
Last Name:SCHAPANSKY
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 1:5660 N FRESNO ST STE 102
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-8343
Mailing Address - Country:US
Mailing Address - Phone:559-832-2111
Mailing Address - Fax:559-436-1730
Practice Address - Street 1:5650 N FRESNO ST
Practice Address - Street 2:SUITE 101
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-8327
Practice Address - Country:US
Practice Address - Phone:559-832-8211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-24
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60685122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist