Schaedel, Robert S

Schaedel, Robert S is an individual health care provider with primary practice located at 440 Western Ave , South Portland ME 04106. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Schaedel, Robert S can be contacted via phone (207) 774-2611.

Contact Information

Primary practice address
440 Western Ave South Portland ME 04106
Phone: (207) 774-2611
Fax: (207) 774-2613
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 3502 Maine

Profile Details

NPI number 1417053034
LBN Legal business name Schaedel, Robert S
Credentials DMD MD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Jun 11th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417053034 NPPES
Maine MEDICAID 288780099

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