Healthcare Provider Details

I. General information

NPI: 1376513242
Provider Name (Legal Business Name): THOMAS KENT SCHREIBER DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

US ARMY DENTAL ACTIVITY-BAVARIA, CREDENTIALS OFFICE UNIT 28038
APO AE
09112
US

IV. Provider business mailing address

US ARMY DENTAL ACTIVITY-BAVARIA, CREDENTIALS OFFICE UNIT 28038
APO AE
09112
US

V. Phone/Fax

Practice location:
  • Phone: 011499662834738
  • Fax: 011499662834741
Mailing address:
  • Phone: 011499662834738
  • Fax: 011499662834741

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number11139
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDS027984L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: