Provider Demographics
NPI:1396818456
Name:DR CARL A RIEMENSCHNEIDER DDS
Entity Type:Organization
Organization Name:DR CARL A RIEMENSCHNEIDER DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:RIEMENSCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-835-4222
Mailing Address - Street 1:25101 DETROIT RD
Mailing Address - Street 2:SUITE 410 WESTLAWN SQUARE
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145
Mailing Address - Country:US
Mailing Address - Phone:440-835-4222
Mailing Address - Fax:440-835-4008
Practice Address - Street 1:25101 DETROIT RD
Practice Address - Street 2:SUITE 410 WESTLAWN SQUARE
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145
Practice Address - Country:US
Practice Address - Phone:440-835-4222
Practice Address - Fax:440-835-4008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH127461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty