Provider Demographics
NPI:1558410712
Name:SCHREINER, KRISTEN K (DDS)
Entity Type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:K
Last Name:SCHREINER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:KRISTEN
Other - Middle Name:K
Other - Last Name:NIEWALD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:701 NW COMMERCE DRIVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64086
Mailing Address - Country:US
Mailing Address - Phone:816-525-4848
Mailing Address - Fax:816-525-4747
Practice Address - Street 1:701 NW COMMERCE DRIVE
Practice Address - Street 2:SUITE 101
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64086
Practice Address - Country:US
Practice Address - Phone:816-525-4848
Practice Address - Fax:816-525-4747
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2016-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20010153901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice