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Contact Information

JEFFREY L SCHWAB, DDS
875 PARK AVE
MANDEVILLE, LA70448
 Phone: 985-624-7707
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for JEFFREY L SCHWAB · (Male)

NPI Number 1154482354
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 12/12/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 4007
  • LA Medicaid 1840076
  • LA Other A1947 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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