Healthcare Provider Details
I. General information
NPI: 1588090344
Provider Name (Legal Business Name): MICHAEL O REIMELS DDS & CATHERINE SCHENIDER DDS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/24/2013
Last Update Date: 09/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
816 E FRANKLIN BLVD
GASTONIA NC
28054-4241
US
IV. Provider business mailing address
PO BOX 2249
HUNTERSVILLE NC
28070-2249
US
V. Phone/Fax
- Phone: 704-978-9800
- Fax: 704-274-9666
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AMANDA
GROESCHEL
Title or Position: DIRECTOR
Credential:
Phone: 704-978-9800