Provider Demographics
NPI:1891711545
Name:SCHNEIDER, WALTER E (DDS)
Entity Type:Individual
Prefix:DR
First Name:WALTER
Middle Name:E
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 1:5039 S FEDERAL BLVD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80110-6369
Mailing Address - Country:US
Mailing Address - Phone:303-798-4377
Mailing Address - Fax:
Practice Address - Street 1:5039 S FEDERAL BLVD
Practice Address - Street 2:SUITE 8
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80110-6369
Practice Address - Country:US
Practice Address - Phone:303-798-4377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice