Provider Demographics
NPI:1558492041
Name:SCHNARE, THOMAS W (DMD,PC)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:W
Last Name:SCHNARE
Suffix:
Gender:M
Credentials:DMD,PC
Other - Prefix:
Other - First Name:TERRY
Other - Middle Name:W
Other - Last Name:SCHNARE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD,PC
Mailing Address - Street 1:9250 HWY. 5
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30134-6157
Mailing Address - Country:US
Mailing Address - Phone:770-942-1096
Mailing Address - Fax:770-942-7899
Practice Address - Street 1:9250 HWY 5
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30134-6157
Practice Address - Country:US
Practice Address - Phone:770-942-1096
Practice Address - Fax:770-942-7899
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA89651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice