Provider Demographics
NPI:1952392300
Name:SCHNEIDER, DAVID H (DMD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:H
Last Name:SCHNEIDER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5454 WISCONSIN AVE
Mailing Address - Street 2:#1425
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815
Mailing Address - Country:US
Mailing Address - Phone:301-652-9295
Mailing Address - Fax:301-652-9251
Practice Address - Street 1:5454 WISCONSIN AVE
Practice Address - Street 2:#1425
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815
Practice Address - Country:US
Practice Address - Phone:301-652-9295
Practice Address - Fax:301-652-9251
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-03
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD90821223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics