Provider Demographics
NPI:1568684116
Name:SCHREIBER, DENIS GERARD (DDS)
Entity Type:Individual
Prefix:DR
First Name:DENIS
Middle Name:GERARD
Last Name:SCHREIBER
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 1:28045 CLEMENS RD.
Mailing Address - Street 2:SUITE A.
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145
Mailing Address - Country:US
Mailing Address - Phone:440-892-8787
Mailing Address - Fax:440-892-6878
Practice Address - Street 1:28045 CLEMENS RD.
Practice Address - Street 2:SUITE A.
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145
Practice Address - Country:US
Practice Address - Phone:440-892-8787
Practice Address - Fax:440-892-6878
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH171391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice