Provider Demographics
NPI:1053764100
Name:DAVID J SCHNEIDER, DDS PS
Entity type:Organization
Organization Name:DAVID J SCHNEIDER, DDS PS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:SCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS PS
Authorized Official - Phone:360-733-4940
Mailing Address - Street 1:1800 C ST
Mailing Address - Street 2:STE 227
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-4000
Mailing Address - Country:US
Mailing Address - Phone:360-733-4940
Mailing Address - Fax:484-842-2601
Practice Address - Street 1:1800 C ST
Practice Address - Street 2:STE 227
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-4000
Practice Address - Country:US
Practice Address - Phone:360-733-4940
Practice Address - Fax:484-842-2601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-13
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA98641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty