Provider Demographics
NPI:1932718129
Name:JEFFREY SCHIMP, DDS PC
Entity Type:Organization
Organization Name:JEFFREY SCHIMP, DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHIMP
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:269-344-0406
Mailing Address - Street 1:5827 OAKLAND DR
Mailing Address - Street 2:
Mailing Address - City:PORTAGE
Mailing Address - State:MI
Mailing Address - Zip Code:49024-1165
Mailing Address - Country:US
Mailing Address - Phone:269-344-0406
Mailing Address - Fax:
Practice Address - Street 1:5827 OAKLAND DR
Practice Address - Street 2:
Practice Address - City:PORTAGE
Practice Address - State:MI
Practice Address - Zip Code:49024-1165
Practice Address - Country:US
Practice Address - Phone:269-344-0406
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-24
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty