| Schambeau Dental Care, P.c. | |
|
6260 Park South Dr Suite 101 Bessemer AL 35022-5655 | |
| (205) 428-2205 | |
| Not Available |
| Full Name | Schambeau Dental Care, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 6260 Park South Dr, Bessemer, Alabama |
| Authorized Official Name and Position | Kevin Mcgowin Schambeau (PRESIDENT) |
| Authorized Official Contact | 2054282205 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Schambeau Dental Care, P.c. 6260 Park South Dr Suite 101 Bessemer AL 35022-5655 Ph: (205) 428-2205 | Schambeau Dental Care, P.c. 6260 Park South Dr Suite 101 Bessemer AL 35022-5655 Ph: (205) 428-2205 |
| NPI Number | 1487916789 |
|---|---|
| Provider Enumeration Date | 06/12/2012 |
| Last Update Date | 06/12/2012 |
| Medicare PECOS PAC ID | 0244494722 |
|---|---|
| Medicare Enrollment ID | O20120613000339 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487916789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4737 (Alabama) | Primary |
| Provider Name | Kevin M Schambeau |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1508803735 PECOS PAC ID: 5799949277 Enrollment ID: I20120614000015 |
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