Provider Demographics
NPI:1245405299
Name:STEPHEN A SCHNEIDER DDS PA
Entity Type:Organization
Organization Name:STEPHEN A SCHNEIDER DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:301-261-3391
Mailing Address - Street 1:2411 CROFTON LANE
Mailing Address - Street 2:SUITE 25 B
Mailing Address - City:CROFTON
Mailing Address - State:MD
Mailing Address - Zip Code:21114-1354
Mailing Address - Country:US
Mailing Address - Phone:301-261-3391
Mailing Address - Fax:
Practice Address - Street 1:2411 CROFTON LANE
Practice Address - Street 2:SUITE 25 B
Practice Address - City:CROFTON
Practice Address - State:MD
Practice Address - Zip Code:21114-1354
Practice Address - Country:US
Practice Address - Phone:301-261-3391
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD47101223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty