Provider Demographics
NPI:1861828022
Name:MICHAEL O REIMELS DDS & CATHERINE K SCHNEIDER DDS PLLC
Entity Type:Organization
Organization Name:MICHAEL O REIMELS DDS & CATHERINE K SCHNEIDER DDS PLLC
Other - Org Name:SMILE ZONE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:NOELLE
Authorized Official - Last Name:GROESCHEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-978-9800
Mailing Address - Street 1:PO BOX 2249
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28070-2249
Mailing Address - Country:US
Mailing Address - Phone:704-978-9800
Mailing Address - Fax:704-274-9666
Practice Address - Street 1:816 E FRANKLIN BLVD
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-4241
Practice Address - Country:US
Practice Address - Phone:704-978-9800
Practice Address - Fax:704-274-9666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-19
Last Update Date:2013-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty