Provider Demographics
NPI:1699833848
Name:SCHNEIDLER, MICHAEL J (DDS)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:J
Last Name:SCHNEIDLER
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 1:1231 GEORGE TOWNE DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:PEWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53072-2755
Mailing Address - Country:US
Mailing Address - Phone:262-691-9832
Mailing Address - Fax:262-691-9871
Practice Address - Street 1:1231 GEORGE TOWNE DR
Practice Address - Street 2:SUITE D
Practice Address - City:PEWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53072-2755
Practice Address - Country:US
Practice Address - Phone:262-691-9832
Practice Address - Fax:262-691-9871
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2010-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI27221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice