Provider Demographics
NPI:1659444560
Name:DR GENE B SCHNEIDER PC
Entity Type:Organization
Organization Name:DR GENE B SCHNEIDER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GENE
Authorized Official - Middle Name:B
Authorized Official - Last Name:SCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:605-347-2509
Mailing Address - Street 1:1245 SHERMAN ST
Mailing Address - Street 2:
Mailing Address - City:STURGIS
Mailing Address - State:SD
Mailing Address - Zip Code:57785-2579
Mailing Address - Country:US
Mailing Address - Phone:605-347-2509
Mailing Address - Fax:605-347-2500
Practice Address - Street 1:1245 SHERMAN ST
Practice Address - Street 2:
Practice Address - City:STURGIS
Practice Address - State:SD
Practice Address - Zip Code:57785-2579
Practice Address - Country:US
Practice Address - Phone:605-347-2509
Practice Address - Fax:605-347-2500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDM695122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty