Provider Demographics
NPI:1912046475
Name:SCHERER, STEFFAN J (DDS MS)
Entity Type:Individual
Prefix:MR
First Name:STEFFAN
Middle Name:J
Last Name:SCHERER
Suffix:
Gender:M
Credentials:DDS MS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:7515 QUAKER AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-5308
Mailing Address - Country:US
Mailing Address - Phone:806-797-4455
Mailing Address - Fax:806-797-2460
Practice Address - Street 1:7515 QUAKER AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-5308
Practice Address - Country:US
Practice Address - Phone:806-797-4455
Practice Address - Fax:806-797-2460
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2014-06-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ND18481223E0200X
MND108061223E0200X
TX287531223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND41238Medicaid
NDSCH24903OtherBLUE CROSS MEDICAL
ND823844OtherUNITED CONCORDIA