Provider Demographics
NPI:1184890527
Name:JEFFREY J SCHROEDER, DDS PC
Entity type:Organization
Organization Name:JEFFREY J SCHROEDER, DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHROEDER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:402-934-5397
Mailing Address - Street 1:841 N 98TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-2338
Mailing Address - Country:US
Mailing Address - Phone:402-934-5397
Mailing Address - Fax:402-933-1286
Practice Address - Street 1:841 N 98TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-2338
Practice Address - Country:US
Practice Address - Phone:402-934-5397
Practice Address - Fax:402-933-1286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-06
Last Update Date:2015-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty