Provider Demographics
NPI:1316660897
Name:SCHREMP FAMILY DENTISTRY LLC
Entity type:Organization
Organization Name:SCHREMP FAMILY DENTISTRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHREMP
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:573-547-5570
Mailing Address - Street 1:12 S JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:PERRYVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63775-2515
Mailing Address - Country:US
Mailing Address - Phone:573-547-5570
Mailing Address - Fax:573-547-5570
Practice Address - Street 1:12 S JACKSON ST
Practice Address - Street 2:
Practice Address - City:PERRYVILLE
Practice Address - State:MO
Practice Address - Zip Code:63775-2515
Practice Address - Country:US
Practice Address - Phone:573-547-5570
Practice Address - Fax:573-547-5570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-20
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental