Healthcare Provider Details

I. General information

NPI: 1548344591
Provider Name (Legal Business Name): DENNIS C SCHNECKER DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

614 S MAIN ST
BLACKSBURG VA
24060-5259
US

IV. Provider business mailing address

604 AIRPORT RD
BLACKSBURG VA
24060-5404
US

V. Phone/Fax

Practice location:
  • Phone: 540-953-2980
  • Fax: 540-953-2005
Mailing address:
  • Phone: 540-552-1287
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: