Provider Demographics
NPI:1043571482
Name:BICUSPIDS & MOLARS P.C.
Entity Type:Organization
Organization Name:BICUSPIDS & MOLARS P.C.
Other - Org Name:SCHNEIDER & COCO FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:P
Authorized Official - Last Name:SCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:402-493-2314
Mailing Address - Street 1:12041 BLONDO ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68164-3905
Mailing Address - Country:US
Mailing Address - Phone:402-493-2314
Mailing Address - Fax:402-614-3018
Practice Address - Street 1:12041 BLONDO ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68164-3905
Practice Address - Country:US
Practice Address - Phone:402-493-2314
Practice Address - Fax:402-614-3018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-01
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE68391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE100258792-00Medicaid