Healthcare Provider Details

I. General information

NPI: 1831685346
Provider Name (Legal Business Name): JAMES DAVIS SCHNEIDER DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2018
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 AUSTIN ST
BOGALUSA LA
70427-3857
US

IV. Provider business mailing address

320 AUSTIN ST
BOGALUSA LA
70427-3857
US

V. Phone/Fax

Practice location:
  • Phone: 985-735-7653
  • Fax: 985-735-7688
Mailing address:
  • Phone: 985-735-7653
  • Fax: 985-735-7688

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number6553
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN23631
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number7043
License Number StateLA
# 4
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN23631
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number6553
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: