Organization
R. JASON SCHNEPF DDS
Active
Other names
Broad Smile Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. R JASON SCHNEPF DDS (DENTIST)
(219) 922-7870
Entity
Organization
Contact information
Practice address
423 N BROAD ST, GRIFFITH, IN 46319-2223
(219) 922-7870
(219) 922-8056
Mailing address
423 N BROAD ST, GRIFFITH, IN 46319-2223
(219) 922-7870
(219) 922-8056
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010464A
IN
Other
Enumeration date
05/03/2007
Last updated
09/25/2007
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