Provider Demographics
NPI:1881284149
Name:SANTA MARIA & SCHNEIDER DMD CHESHIRE LLC
Entity type:Organization
Organization Name:SANTA MARIA & SCHNEIDER DMD CHESHIRE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANGAER
Authorized Official - Prefix:
Authorized Official - First Name:LIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:GRABOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-747-2416
Mailing Address - Street 1:420 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-3145
Mailing Address - Country:US
Mailing Address - Phone:203-272-7044
Mailing Address - Fax:
Practice Address - Street 1:420 S MAIN ST
Practice Address - Street 2:
Practice Address - City:CHESHIRE
Practice Address - State:CT
Practice Address - Zip Code:06410-3145
Practice Address - Country:US
Practice Address - Phone:203-272-7044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-21
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental