Provider Demographics
NPI:1396905071
Name:SCHLADER, JEROME BERNARD JR (DDS)
Entity type:Individual
Prefix:DR
First Name:JEROME
Middle Name:BERNARD
Last Name:SCHLADER
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:JERRY
Other - Middle Name:
Other - Last Name:SCHLADER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:3606 FAIRMONT PKWY
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77504-3008
Mailing Address - Country:US
Mailing Address - Phone:281-487-6453
Mailing Address - Fax:281-998-3380
Practice Address - Street 1:3606 FAIRMONT PKWY
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-3008
Practice Address - Country:US
Practice Address - Phone:281-487-6453
Practice Address - Fax:281-998-3380
Is Sole Proprietor?:No
Enumeration Date:2008-06-16
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX158721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice