Provider Demographics
NPI:1427435833
Name:SCHIBLER, MARK (DDS, MD)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:
Last Name:SCHIBLER
Suffix:
Gender:M
Credentials:DDS, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7140 MIAMI AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45243-2676
Mailing Address - Country:US
Mailing Address - Phone:513-271-5900
Mailing Address - Fax:
Practice Address - Street 1:7140 MIAMI AVE STE 202
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45243-2676
Practice Address - Country:US
Practice Address - Phone:513-271-5900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-05
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0264741223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery