Healthcare Provider Details
I. General information
NPI: 1487740270
Provider Name (Legal Business Name): GALEN BELMONT SCHNEIDER DDS PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/05/2006
Last Update Date: 09/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
801 NEWTON RD
IOWA CITY IA
52242
US
IV. Provider business mailing address
322 DENTAL SCIENCE BLDG. S
IOWA CITY IA
52242-1001
US
V. Phone/Fax
- Phone: 319-335-7440
- Fax: 319-335-7451
- Phone: 319-335-7440
- Fax: 319-335-7451
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1223P0700X |
| Taxonomy | Prosthodontics |
| License Number | 6265 |
| License Number State | NC |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223P0700X |
| Taxonomy | Prosthodontics |
| License Number | 09146 |
| License Number State | IA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: