Provider Demographics
NPI:1902974744
Name:SCHOENGOLD, IRWIN N (DMD)
Entity Type:Individual
Prefix:
First Name:IRWIN
Middle Name:N
Last Name:SCHOENGOLD
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:261 OLD YORK ROAD
Mailing Address - Street 2:SUITE 323
Mailing Address - City:JENKINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19046-3706
Mailing Address - Country:US
Mailing Address - Phone:215-887-1040
Mailing Address - Fax:215-887-1020
Practice Address - Street 1:261 OLD YORK ROAD
Practice Address - Street 2:SUITE 323
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046-3706
Practice Address - Country:US
Practice Address - Phone:215-887-1040
Practice Address - Fax:215-887-1020
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS019944L1223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics