Provider Demographics
NPI:1376513242
Name:SCHREIBER, THOMAS KENT (DDS)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:KENT
Last Name:SCHREIBER
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:US ARMY DENTAL ACTIVITY-BAVARIA, CREDENTIALS OFFICE
Mailing Address - Street 2:UNIT 28038
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09112
Mailing Address - Country:US
Mailing Address - Phone:01149966-283-4738
Mailing Address - Fax:01149966-283-4741
Practice Address - Street 1:US ARMY DENTAL ACTIVITY-BAVARIA, CREDENTIALS OFFICE
Practice Address - Street 2:UNIT 28038
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09112
Practice Address - Country:US
Practice Address - Phone:01149966-283-4738
Practice Address - Fax:01149966-283-4741
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD111391223G0001X
PADS027984L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
BS9100304OtherFEDERAL DEA
BS2961820OtherFEDERAL DEA