Provider Demographics
NPI:1063941417
Name:LUKE SCHWEISS DMD INC.
Entity type:Organization
Organization Name:LUKE SCHWEISS DMD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LUKE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWEISS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:937-644-8830
Mailing Address - Street 1:951 N MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43040-9606
Mailing Address - Country:US
Mailing Address - Phone:937-644-8830
Mailing Address - Fax:
Practice Address - Street 1:951 N MAPLESTREET
Practice Address - Street 2:
Practice Address - City:MARYSVILE
Practice Address - State:OH
Practice Address - Zip Code:43040
Practice Address - Country:US
Practice Address - Phone:937-644-8830
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty