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Individual
JEFFREY SCHWEPPE
Active
Individual
JEFFREY SCHWEPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
12013033A
IN
1223P0221X
Pediatric Dentistry
Primary
11166856-9924
UT
390200000X
Student in an Organized Health Care Education/Training Program
LDR170180
IN
Other
Enumeration date
06/20/2017
Last updated
07/07/2022
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