Provider Demographics
NPI:1942641477
Name:DYLAN SCHNEIDER DDS MS LLC
Entity Type:Organization
Organization Name:DYLAN SCHNEIDER DDS MS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ONWER DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:DYLAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS MS
Authorized Official - Phone:301-862-4424
Mailing Address - Street 1:23415 THREE NOTCH RD
Mailing Address - Street 2:SUITE 2003
Mailing Address - City:CALIFORNIA
Mailing Address - State:MD
Mailing Address - Zip Code:20619-4017
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:23415 THREE NOTCH RD
Practice Address - Street 2:SUITE 2003
Practice Address - City:CALIFORNIA
Practice Address - State:MD
Practice Address - Zip Code:20619-4017
Practice Address - Country:US
Practice Address - Phone:301-862-4424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-12
Last Update Date:2013-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty