Provider Demographics
NPI:1104922871
Name:SCHRENKER, JOHN SCOTT (DMD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:SCOTT
Last Name:SCHRENKER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 E NORTH AVE STE 111
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-4772
Mailing Address - Country:US
Mailing Address - Phone:412-359-3685
Mailing Address - Fax:412-359-4063
Practice Address - Street 1:320 E NORTH AVE STE 111
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-4772
Practice Address - Country:US
Practice Address - Phone:412-359-3685
Practice Address - Fax:412-359-4063
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS020733L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice