Provider Demographics
NPI:1861687840
Name:SCHNEIDER, S. CRAIG (DDS, MAGD)
Entity Type:Individual
Prefix:
First Name:S.
Middle Name:CRAIG
Last Name:SCHNEIDER
Suffix:
Gender:M
Credentials:DDS, MAGD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3024 SENECA CHIEF TRL
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-1418
Mailing Address - Country:US
Mailing Address - Phone:410-591-5217
Mailing Address - Fax:
Practice Address - Street 1:8885 CENTRE PARK DR STE 2E
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-2199
Practice Address - Country:US
Practice Address - Phone:410-715-8951
Practice Address - Fax:410-715-8949
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-12
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD84831223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics