Organization
SCHELLHASE, KOEHLER, AND O'SHAUGHNESSY, P.A.
Active
Other names
Danie J Schellhase DDS MS Karen E Koehler DDS MS Kevin W Shaughnessy D
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL J SCHELLHASE DDS MS (PRESIDENT)
(904) 388-4600
Entity
Organization
Contact information
Practice address
5435 ORTEGA BLVD, SUITE 2, JACKSONVILLE, FL 32210-8435
(904) 388-4600
(904) 389-9499
Mailing address
5435 ORTEGA BLVD, SUITE 2, JACKSONVILLE, FL 32210-8435
(904) 388-4600
(904) 389-9499
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6127
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN16375
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN16801
FL
Other
Enumeration date
10/19/2007
Last updated
03/24/2010
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