Stevens, Schadale
Stevens, Schadale is an individual health care provider with primary practice located at 4813 Rockbridge Rd Ste 26, Stone Mountain GA 30083-4200. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Stevens, Schadale can be contacted via phone (404) 292-8383.Contact Information
Primary practice address
4813 Rockbridge Rd Ste 26
Stone Mountain GA 30083-4200
Phone: (404) 292-8383
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 012150 | Georgia |
Profile Details
| NPI number | 1386798346 |
|---|---|
| LBN Legal business name | Stevens, Schadale |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386798346 | NPPES |
| Georgia | MEDICAID | 00909664A |
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