Healthcare Provider Details

I. General information

NPI: 1841628518
Provider Name (Legal Business Name): MATTHEW W LINEBERGER, DDS,MS C. SCHNEIDER DDS & M. REIMELS DDS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2013
Last Update Date: 10/16/2013
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

Practice location:
  • Phone: 704-978-9800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: AMANDA GROESCHEL
Title or Position: DIRECTOR
Credential:
Phone: 704-978-9800