Provider Demographics
NPI:1255305090
Name:SCHREINER, JAMES ELMER (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ELMER
Last Name:SCHREINER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 JUPITER ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76311-1013
Mailing Address - Country:US
Mailing Address - Phone:940-855-9368
Mailing Address - Fax:
Practice Address - Street 1:82 MEDICAL GROUP/CREDENTIALS
Practice Address - Street 2:149 HART STREET
Practice Address - City:SHEPPARD AFB
Practice Address - State:TX
Practice Address - Zip Code:76311-3482
Practice Address - Country:US
Practice Address - Phone:940-676-4474
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI29771223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAD 000Medicare UPIN