Individual provider · Type 1 NPI
Brent Tracy Schvaneveldt, DMD
General Practice Dentistry · Aberdeen, ID
NPI number
1720125230
Active
Practice location
81 West Washington
Aberdeen, ID 83210
Fax (208) 397-5606
Mailing address
PO Box 837, P.o. Box 837
Aberdeen, ID 83210-0837
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | D-1614 (ID) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
About NPI 1720125230
Brent Tracy Schvaneveldt, DMD's National Provider Identifier is 1720125230, issued on Jan 31, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Aberdeen, ID. The record was last updated on Jul 8, 2007.