Provider Demographics
NPI:1952375479
Name:SCHREIBER, WM L (DDS)
Entity Type:Individual
Prefix:DR
First Name:WM
Middle Name:L
Last Name:SCHREIBER
Suffix:
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 1:6840 W COUNTY ROAD 24
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-9446
Mailing Address - Country:US
Mailing Address - Phone:970-667-4765
Mailing Address - Fax:970-667-8782
Practice Address - Street 1:1323 HARLOW LN
Practice Address - Street 2:SUITE 4
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80537-4592
Practice Address - Country:US
Practice Address - Phone:970-667-8782
Practice Address - Fax:970-667-8782
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COHD100110122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist