Provider Demographics
NPI:1598417669
Name:G SCHNEPPER DDS MS PLLC
Entity Type:Organization
Organization Name:G SCHNEPPER DDS MS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:LEVON
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-260-5113
Mailing Address - Street 1:2702 NE 78TH ST STE 106
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98665-0664
Mailing Address - Country:US
Mailing Address - Phone:360-260-5113
Mailing Address - Fax:360-567-2447
Practice Address - Street 1:2702 NE 78TH ST STE 106
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98665-0664
Practice Address - Country:US
Practice Address - Phone:360-260-5113
Practice Address - Fax:360-567-2447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-20
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1548324973OtherNPI
WADE00010490OtherDENTAL LICENSE