Provider Demographics
NPI:1366511040
Name:SCHOTT, STEPHEN M (DDS INC)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:M
Last Name:SCHOTT
Suffix:
Gender:M
Credentials:DDS INC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32322 COAST HWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:LAGUNA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92651-6785
Mailing Address - Country:US
Mailing Address - Phone:949-499-5344
Mailing Address - Fax:949-499-0746
Practice Address - Street 1:32322 COAST HWY
Practice Address - Street 2:SUITE A
Practice Address - City:LAGUNA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92651-6785
Practice Address - Country:US
Practice Address - Phone:949-499-5344
Practice Address - Fax:949-499-0746
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA258371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice