Healthcare Provider Details

I. General information

NPI: 1487282679
Provider Name (Legal Business Name): SYDNEY ALEXANDRA SCHNEIDER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2020
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1356 OLD GEORGETOWN RD STE 106
MOUNT PLEASANT SC
29464-5492
US

IV. Provider business mailing address

1480 OAKLANDING RD
MOUNT PLEASANT SC
29464-3832
US

V. Phone/Fax

Practice location:
  • Phone: 843-375-6560
  • Fax:
Mailing address:
  • Phone: 314-330-1160
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number11290
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number11284
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: