Provider Demographics
NPI:1467846055
Name:BANDOS, KATHERINE SCHIER (DMD)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:SCHIER
Last Name:BANDOS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5925 VENTURE PARK DR
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49009-1859
Mailing Address - Country:US
Mailing Address - Phone:269-353-3700
Mailing Address - Fax:269-353-3701
Practice Address - Street 1:5925 VENTURE PARK DR
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49009-1859
Practice Address - Country:US
Practice Address - Phone:269-353-3700
Practice Address - Fax:269-353-3701
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-23
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901022538122300000X
LA6717122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist