Healthcare Provider Details

I. General information

NPI: 1134096761
Provider Name (Legal Business Name): BJ SCHNEISS DMD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2025
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2524 E WEBSTER PL STE 201
MILWAUKEE WI
53211-4257
US

IV. Provider business mailing address

5320 CASCADE DR
WEST BEND WI
53095-9755
US

V. Phone/Fax

Practice location:
  • Phone: 262-305-6939
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. BEAU JEFFREY SCHNEISS
Title or Position: DOCTOR
Credential: DMD
Phone: 262-305-6939