Provider Demographics
NPI:1417072059
Name:SCHINDLER, KURT FREDERICK (DDS)
Entity Type:Individual
Prefix:DR
First Name:KURT
Middle Name:FREDERICK
Last Name:SCHINDLER
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 1:290 ALAMO DR. STE. A
Mailing Address - Street 2:
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95688-4223
Mailing Address - Country:US
Mailing Address - Phone:707-446-1100
Mailing Address - Fax:707-446-1159
Practice Address - Street 1:290 ALAMO DR STE A
Practice Address - Street 2:
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95688-4245
Practice Address - Country:US
Practice Address - Phone:707-446-1100
Practice Address - Fax:707-446-1159
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAB35337122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist