Provider Demographics
NPI:1982826459
Name:SHELLEY SCHNOOR, D.D.S., PLC
Entity Type:Organization
Organization Name:SHELLEY SCHNOOR, D.D.S., PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHELLEY
Authorized Official - Middle Name:GABRIELLE
Authorized Official - Last Name:SCHNOOR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:734-568-6111
Mailing Address - Street 1:3602 STERNS RD
Mailing Address - Street 2:
Mailing Address - City:LAMBERTVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48144-9578
Mailing Address - Country:US
Mailing Address - Phone:734-568-6111
Mailing Address - Fax:734-568-6014
Practice Address - Street 1:3602 STERNS RD
Practice Address - Street 2:
Practice Address - City:LAMBERTVILLE
Practice Address - State:MI
Practice Address - Zip Code:48144-9578
Practice Address - Country:US
Practice Address - Phone:734-568-6111
Practice Address - Fax:734-568-6014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2015-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty