MEDICARE: DR. ROBERT EDWARD SCHNEIDER D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	19325	OH

General Provider Information

NPI Number	:	1063568954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT EDWARD SCHNEIDER D.D.S.

Provider Business Mailing Address
First Line	:	20620 N PARK BLVD
Second Line	:	SUITE 220
City	:	SHAKER HEIGHTS
State	:	OH
Zip	:	44118-4519
Country	:	US
Telephone Number	:	216-321-2545
Fax Number	:	216-321-2546

Provider Business Practice Location Address
First Line	:	20620 N PARK BLVD
Second Line	:	SUITE 220
City	:	SHAKER HEIGHTS
State	:	OH
Zip	:	44118-4519
Country	:	US
Telephone Number	:	216-321-2545
Fax Number	:	216-321-2546

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	07/08/2007

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