Provider Demographics
NPI:1154566487
Name:SCHAEPERKLAUS, BRUCE ALAN (DDS)
Entity type:Individual
Prefix:
First Name:BRUCE
Middle Name:ALAN
Last Name:SCHAEPERKLAUS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 COMMERCIAL CT
Mailing Address - Street 2:B
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34292-1654
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:415 COMMERCIAL CT
Practice Address - Street 2:B
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34292-1654
Practice Address - Country:US
Practice Address - Phone:941-484-4357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-16
Last Update Date:2008-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL7596122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist