Provider Demographics
NPI:1336338193
Name:SHUMAN & SCHWAB, DMD PC
Entity Type:Organization
Organization Name:SHUMAN & SCHWAB, DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:SCHWAB
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:610-926-1233
Mailing Address - Street 1:109 ANNA AVE
Mailing Address - Street 2:P.O. BOX 260
Mailing Address - City:BLANDON
Mailing Address - State:PA
Mailing Address - Zip Code:19510-9311
Mailing Address - Country:US
Mailing Address - Phone:610-926-1233
Mailing Address - Fax:610-916-7640
Practice Address - Street 1:1052 PARK RD
Practice Address - Street 2:
Practice Address - City:BLANDON
Practice Address - State:PA
Practice Address - Zip Code:19510-9563
Practice Address - Country:US
Practice Address - Phone:610-926-1233
Practice Address - Fax:610-916-7640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-17
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0368171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty