Healthcare Provider Details

I. General information

NPI: 1952392300
Provider Name (Legal Business Name): DAVID H. SCHNEIDER D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/03/2005
Last Update Date: 06/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5454 WISCONSIN AVE #1425
CHEVY CHASE MD
20815
US

IV. Provider business mailing address

5454 WISCONSIN AVE #1425
CHEVY CHASE MD
20815
US

V. Phone/Fax

Practice location:
  • Phone: 301-652-9295
  • Fax: 301-652-9251
Mailing address:
  • Phone: 301-652-9295
  • Fax: 301-652-9251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number9082
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: