MEDICARE: ANDREW 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
1	1223G0001X	General Practice Dentistry	11052	TN

General Provider Information

NPI Number	:	1548829807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW SCHNEIDER DDS

Provider Business Mailing Address
First Line	:	513 ACKLEN PARK DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37205-2365
Country	:	US
Telephone Number	:	901-826-2789
Fax Number	:

Provider Business Practice Location Address
First Line	:	2153 GALLATIN PIKE N
Second Line	:
City	:	MADISON
State	:	TN
Zip	:	37115-2003
Country	:	US
Telephone Number	:	615-933-0227
Fax Number	:

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

Provider Enumeration Date	:	06/11/2019
Last Update Date	:	06/11/2019

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