Provider Demographics
NPI:1730114604
Name:SCHNEIDER, STEPHEN A (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:A
Last Name:SCHNEIDER
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 1:2411 CROFTON LN
Mailing Address - Street 2:SUITE 25B
Mailing Address - City:CROFTON
Mailing Address - State:MD
Mailing Address - Zip Code:21114-1354
Mailing Address - Country:US
Mailing Address - Phone:301-261-3391
Mailing Address - Fax:
Practice Address - Street 1:2411 CROFTON LN
Practice Address - Street 2:SUITE 25B
Practice Address - City:CROFTON
Practice Address - State:MD
Practice Address - Zip Code:21114-1354
Practice Address - Country:US
Practice Address - Phone:301-261-3391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD47101223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics