Provider Demographics
NPI:1255531349
Name:SCHROETER, DAVID ANDREW (DMD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ANDREW
Last Name:SCHROETER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5700 CLARK RD
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-3302
Mailing Address - Country:US
Mailing Address - Phone:941-953-5272
Mailing Address - Fax:941-953-4036
Practice Address - Street 1:5700 CLARK RD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-3302
Practice Address - Country:US
Practice Address - Phone:941-953-5272
Practice Address - Fax:941-953-4036
Is Sole Proprietor?:No
Enumeration Date:2007-07-18
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN18095122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist