Provider Demographics
NPI:1265727507
Name:SCHNEIDER, FREDERICK W JR (DDS)
Entity type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:W
Last Name:SCHNEIDER
Suffix:JR
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 1:125 SOUTH WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-2319
Mailing Address - Country:US
Mailing Address - Phone:301-424-2234
Mailing Address - Fax:
Practice Address - Street 1:125 S WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-2319
Practice Address - Country:US
Practice Address - Phone:301-424-2234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-15
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD70331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice