Provider Demographics
NPI:1235358201
Name:SCHNEIDEWIND, SARA COLLINS (DDS)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:COLLINS
Last Name:SCHNEIDEWIND
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3445 ANDOVER RD
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-2522
Mailing Address - Country:US
Mailing Address - Phone:734-669-0891
Mailing Address - Fax:
Practice Address - Street 1:2310 E STADIUM BLVD
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-4811
Practice Address - Country:US
Practice Address - Phone:734-971-6400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010178671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice