Schubert & Krack, D.S.S., P.a.
Organization Active NPI General Practice Dentistry · Chase, MD
NPI 1811014707 · NPPES record last updated Jan 18, 2012
Key facts
- NPI
- 1811014707
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 6723 (MD)
- Legal business name
- SCHUBERT & KRACK, D.S.S., P.A.
- Practice address
- 12412 Eastern Ave.
Chase, MD 21027-0020 - Phone
- (410) 335-7771
- NPI assigned
- Mar 23, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Lloyd Vernon Schubert Jr., D.D.S.
- Title
- President
- Phone
- (410) 335-7771
Practitioners 1
-
Johhn J Krack, D.D.S.
National Provider Directory
Locations
12412 Eastern Ave
Chase, MD 21027
Phone (410) 335-7771
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 6723 | MD | Yes |
Addresses
Primary practice location
12412 Eastern Ave.
Chase, MD 21027-0020
Mailing address
PO Box B
Chase, MD 21027-0020
Phone (410) 335-7771
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.