Provider Demographics
NPI:1689744427
Name:SCHINDEL ORTHODONTICS
Entity Type:Organization
Organization Name:SCHINDEL ORTHODONTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:H
Authorized Official - Last Name:SCHINDEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS ABO PC
Authorized Official - Phone:631-368-3044
Mailing Address - Street 1:378 LARKFIELD ROAD
Mailing Address - Street 2:
Mailing Address - City:E NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11731-3501
Mailing Address - Country:US
Mailing Address - Phone:631-368-3044
Mailing Address - Fax:631-368-3064
Practice Address - Street 1:378 LARKFIELD ROAD
Practice Address - Street 2:
Practice Address - City:E NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11731-3501
Practice Address - Country:US
Practice Address - Phone:631-368-3044
Practice Address - Fax:631-368-3064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0431261223X0400X
NY237431223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty