Provider Demographics
NPI:1336311083
Name:SCHREIER, LAURET (DDS)
Entity Type:Individual
Prefix:DR
First Name:LAURET
Middle Name:
Last Name:SCHREIER
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 1:13915 N DYSART RD
Mailing Address - Street 2:A-1
Mailing Address - City:EL MIRAGE
Mailing Address - State:AZ
Mailing Address - Zip Code:85335-7335
Mailing Address - Country:US
Mailing Address - Phone:623-444-6340
Mailing Address - Fax:623-444-6350
Practice Address - Street 1:13915 N DYSART RD
Practice Address - Street 2:A-1
Practice Address - City:EL MIRAGE
Practice Address - State:AZ
Practice Address - Zip Code:85335-7335
Practice Address - Country:US
Practice Address - Phone:623-444-6340
Practice Address - Fax:623-444-6350
Is Sole Proprietor?:No
Enumeration Date:2008-04-01
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ52871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ000870541001OtherUNITED CONCORDIA
AZ611922Medicaid