Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRENT TRACY SCHVANEVELDT, D.M.D.
Active Sole ProprietorGeneral Dentistry · ABERDEEN, ID
Registration Details
- NPI Number
- 1720125230
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 31, 2007 (19.270437636475 yrs)
- Last Updated
- Jul 8, 2007
- License
-
D-1614 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
81 WEST WASHINGTONABERDEEN, ID, 83210Browse ID providers · Browse ZIP 83210
- Phone
- 2083974419
- Fax
- 2083975606
- Primary Specialty
-
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.