Provider Demographics
NPI:1164519542
Name:SCHINDLER, BETTY (MBA,DDS)
Entity Type:Individual
Prefix:
First Name:BETTY
Middle Name:
Last Name:SCHINDLER
Suffix:
Gender:F
Credentials:MBA,DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13360 N 94TH DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-4837
Mailing Address - Country:US
Mailing Address - Phone:623-933-1986
Mailing Address - Fax:623-583-2635
Practice Address - Street 1:13360 N 94TH DR
Practice Address - Street 2:SUITE C
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-4837
Practice Address - Country:US
Practice Address - Phone:623-933-1986
Practice Address - Fax:623-583-2635
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2008-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ65481223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics