Provider Demographics
NPI:1295303139
Name:SCHRYER AND ASSOCIATES
Entity type:Organization
Organization Name:SCHRYER AND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:LAUREN
Authorized Official - Last Name:TEACHEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-342-9210
Mailing Address - Street 1:1611 GREENFIELD ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28401-6455
Mailing Address - Country:US
Mailing Address - Phone:910-342-9210
Mailing Address - Fax:910-342-9211
Practice Address - Street 1:1611 GREENFIELD ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-6455
Practice Address - Country:US
Practice Address - Phone:910-342-9210
Practice Address - Fax:910-342-9211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-16
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
10717OtherNC DENTAL LICENSE