Provider Demographics
NPI:1184797649
Name:SCHNEIDER, EARL MARSHALL (DDS)
Entity type:Individual
Prefix:MR
First Name:EARL
Middle Name:MARSHALL
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 1:2601 COMPASS RD
Mailing Address - Street 2:STE. 100
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60026-8004
Mailing Address - Country:US
Mailing Address - Phone:847-729-4840
Mailing Address - Fax:847-729-1607
Practice Address - Street 1:2601 COMPASS RD
Practice Address - Street 2:STE. 100
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60026-8004
Practice Address - Country:US
Practice Address - Phone:847-729-4840
Practice Address - Fax:847-729-1607
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL190197231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice