Provider Demographics
NPI:1821570524
Name:SCHNEIDER FAMILY DENTISTRY
Entity Type:Organization
Organization Name:SCHNEIDER FAMILY DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:P
Authorized Official - Last Name:REID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-948-3111
Mailing Address - Street 1:22 MONTGOMERY VILLAGE AVE
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20879-3582
Mailing Address - Country:US
Mailing Address - Phone:301-948-3111
Mailing Address - Fax:301-948-8674
Practice Address - Street 1:22 MONTGOMERY VILLAGE AVE
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20879-3582
Practice Address - Country:US
Practice Address - Phone:301-948-3111
Practice Address - Fax:301-948-8674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-30
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental