Individual
DR. EDWIN RICHARD SCHLEMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D,
Contact information
Practice address
1326 MAIN ST, BROCKWAY, PA 15824-1636
(814) 265-0300
(814) 265-0551
Mailing address
1326 MAIN ST, BROCKWAY, PA 15824-1636
(814) 265-0300
(814) 265-0551
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS-020275L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005134180001
—
PA
01
—
037408
UNITED CONCORDIA
PA
Enumeration date
04/10/2007
Last updated
07/08/2007
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