Provider Demographics
NPI:1508609967
Name:SCHEID, MARISSA (DDS)
Entity type:Individual
Prefix:DR
First Name:MARISSA
Middle Name:
Last Name:SCHEID
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:621 HERITAGE LN W
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47803-1384
Mailing Address - Country:US
Mailing Address - Phone:812-229-4626
Mailing Address - Fax:
Practice Address - Street 1:1626 S STATE ROAD 46
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47803-9301
Practice Address - Country:US
Practice Address - Phone:812-877-2238
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-14
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12014449A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice