Provider Demographics
NPI:1902172505
Name:TESCHNER, FREDERICK LOUIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:LOUIS
Last Name:TESCHNER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 W. MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LEOLA
Mailing Address - State:PA
Mailing Address - Zip Code:17540
Mailing Address - Country:US
Mailing Address - Phone:717-656-3051
Mailing Address - Fax:
Practice Address - Street 1:355 W. MAIN ST.
Practice Address - Street 2:
Practice Address - City:LEOLA
Practice Address - State:PA
Practice Address - Zip Code:17540
Practice Address - Country:US
Practice Address - Phone:717-656-3051
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-28
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS016578L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice