Individual ProviderDana S ScheetzDentistDental ProvidersPractice Address200 Doctors Drive, Suite F, Jacksonville, NC 28546(910) 353-4242PECOS EnrollmentBased on the most recent information from CMS, provider Dana S Scheetz does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:51 AM.Profile DetailsProvider ID1487751905Provider TypeIndividualFull NameScheetz, Dana STitleDr.CredentialDDSGenderMaleSole ProprietorNoEnumeration Date9/19/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address200 Doctors Drive, Suite F, Jacksonville, NC 28546Phone(910) 353-4242Fax(910) 577-6421Mailing LocationMailing Address200 Doctors Drive, Suite F, Jacksonville, NC 28546Phone(910) 353-4242Fax(910) 577-6421Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense4807OhioProvider IdentifiersIDDescriptionIssuerID02211DescriptionOtherIssuerBCBSNorth CarolinaID2996DescriptionOtherIssuerDELTANorth CarolinaID8990244DescriptionMedicaidIssuerUnlistedNorth Carolina