Eric Francis Schoenebeck, D.M.D., M.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DS035177 Issued in PA

Practice address

110 Marter Ave
Moorestown, NJ 08057-3124

Phone

(856) 727-6453

NPI assigned

Apr 12, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279584000000",
    "number": "1043434707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 MULBERRY DR",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189662867",
            "telephone_number": "352-283-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MARTER AVE",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573124",
            "telephone_number": "856-727-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOENEBECK",
        "first_name": "ERIC",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2010-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "22DI02441601",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS035177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Schimenti, M.D.
• Natan Schneider-Gans, LPC,ACS
• David Schneider, LCSW
• Yecheskel Schneider
• Joseph Julius Schoen, RPH
• Gabriele Schorb-Machado, LPC
• Elliott Harold Schreiber, EDD
• Elizabeth Schroeder, MS, CNS
• Ryan Schroeder, M.D.
• Madelyn L Schwartz, PA-C

• Periodontics in Moorestown, NJ
• Providers in Moorestown, NJ by specialty
• Periodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.