Provider Demographics
NPI:1649241233
Name:SCHREIER, PETER JOHN (DDS)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:JOHN
Last Name:SCHREIER
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:PO BOX 833
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14075-0833
Mailing Address - Country:US
Mailing Address - Phone:716-823-1993
Mailing Address - Fax:716-322-5286
Practice Address - Street 1:3714 ABBOTT RD
Practice Address - Street 2:
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127-1713
Practice Address - Country:US
Practice Address - Phone:716-823-1993
Practice Address - Fax:716-332-5286
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-31
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0297471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00685016Medicaid