Provider Demographics
NPI:1841624806
Name:CANA DENTAL CENTER PC
Entity type:Organization
Organization Name:CANA DENTAL CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:P
Authorized Official - Last Name:SCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:D M D
Authorized Official - Phone:276-755-4081
Mailing Address - Street 1:16257 FANCY GAP HWY
Mailing Address - Street 2:
Mailing Address - City:CANA
Mailing Address - State:VA
Mailing Address - Zip Code:24317-3609
Mailing Address - Country:US
Mailing Address - Phone:276-755-4081
Mailing Address - Fax:276-755-4066
Practice Address - Street 1:16257 FANCY GAP HWY
Practice Address - Street 2:
Practice Address - City:CANA
Practice Address - State:VA
Practice Address - Zip Code:24317-3609
Practice Address - Country:US
Practice Address - Phone:276-755-4081
Practice Address - Fax:276-755-4066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-27
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401008276261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental