Laurence Phillip Schweichler, D.D.S.

Individual provider Active NPI General Practice Dentistry · Caledonia, NY

NPI 1992840037 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1992840037
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
037790 (NY)
Practice address
3144 Church St
Caledonia, NY 14423-1013
Phone
(585) 538-2130
Fax
(585) 538-9765
NPI assigned
Feb 20, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20161110002197 NY Order and Referring Only - Dentist
Practitioner - Dentist
1456677251

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
037790NYMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 037790 NY Yes

Addresses

Primary practice location

3144 Church St
Caledonia, NY 14423-1013

Mailing address

3144 Church St
PO Box 25
Caledonia, NY 14423-1013
Phone (585) 538-2130

Other providers in Caledonia, NY

All providers in Caledonia, NY · General Practice Dentistry in New York

Sources for this page

Verify at the official NPI Registry.