Provider Demographics
NPI:1154825149
Name:SCHINDELHEIM, LOUISA (DMD)
Entity Type:Individual
Prefix:DR
First Name:LOUISA
Middle Name:
Last Name:SCHINDELHEIM
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:LOUISA
Other - Middle Name:
Other - Last Name:BRINN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5596 MAYFIELD RD
Mailing Address - Street 2:
Mailing Address - City:LYNDHURST
Mailing Address - State:OH
Mailing Address - Zip Code:44124-2921
Mailing Address - Country:US
Mailing Address - Phone:440-442-8220
Mailing Address - Fax:
Practice Address - Street 1:7819 BROADVIEW RD
Practice Address - Street 2:
Practice Address - City:SEVEN HILLS
Practice Address - State:OH
Practice Address - Zip Code:44131-6146
Practice Address - Country:US
Practice Address - Phone:216-520-1242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-22
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
OH30.0254471223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0001XDental ProvidersDentistDental Public Health
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program