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NPI Code Detail

MEDICARE: CATHERINE KIM SCHNEIDER DDS

MEDICARE: CATHERINE KIM SCHNEIDER DDS
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
11223G0001XGeneral Practice Dentistry6742NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1902HNOTHERBLUE CROSS BLUE SHIELD NC
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386752046
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE KIM SCHNEIDER DDS
Provider Business Mailing Address
First Line : 2041 SILAS CREEK PKWY
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27103-5147
Country : US
Telephone Number : 336-777-0303
Fax Number : 336-777-3448
Provider Business Practice Location Address
First Line : 4901 N TRYON ST
Second Line :
City : CHARLOTTE
State : NC
Zip : 28213-7033
Country : US
Telephone Number : 704-921-0204
Fax Number : 704-921-4095
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2006
Last Update Date : 07/08/2007

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Directions to “ CATHERINE KIM SCHNEIDER DDS” Practice Location

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