Provider Demographics
NPI:1871800946
Name:SCHEXNAYDER, SEAN (DMD)
Entity type:Individual
Prefix:DR
First Name:SEAN
Middle Name:
Last Name:SCHEXNAYDER
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 1:851 W 1860 N
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:UT
Mailing Address - Zip Code:84780-8555
Mailing Address - Country:US
Mailing Address - Phone:435-531-3235
Mailing Address - Fax:
Practice Address - Street 1:851 W 1860 N
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:UT
Practice Address - Zip Code:84780-8555
Practice Address - Country:US
Practice Address - Phone:435-531-3235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-09
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8340039-99231223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry