Provider Demographics
NPI:1215360300
Name:SCHNABEL FAMILY DENTISTRY DMD PA
Entity Type:Organization
Organization Name:SCHNABEL FAMILY DENTISTRY DMD PA
Other - Org Name:SAVANNAH DENTAL SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHNABEL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:912-354-1366
Mailing Address - Street 1:836 E 65TH ST
Mailing Address - Street 2:SUITE 9A
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-4434
Mailing Address - Country:US
Mailing Address - Phone:912-655-8855
Mailing Address - Fax:912-335-3416
Practice Address - Street 1:836 E 65TH ST
Practice Address - Street 2:SUITE 9A
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-4434
Practice Address - Country:US
Practice Address - Phone:912-655-8855
Practice Address - Fax:912-335-3416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-13
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
122300000X
GADN014132305S00000X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No122300000XDental ProvidersDentistGroup - Multi-Specialty
No305S00000XManaged Care OrganizationsPoint of Service