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NPI Code Detail

MEDICARE: ELI C SCHNEIDER DMD

MEDICARE: ELI C SCHNEIDER DMD
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
11223P0221XPediatric Dentistry12182MA

General Provider Information

NPI Number : 1588686141
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELI C SCHNEIDER DMD
Provider Business Mailing Address
First Line : 851 MAIN ST STE 3
Second Line : NEVIN PROFESSIONAL BUILDING
City : SOUTH WEYMOUTH
State : MA
Zip : 02190-1613
Country : US
Telephone Number : 781-331-0140
Fax Number : 781-337-4700
Provider Business Practice Location Address
First Line : 851 MAIN ST STE 3
Second Line : NEVIN PROFESSIONAL BUILDING
City : SOUTH WEYMOUTH
State : MA
Zip : 02190-1613
Country : US
Telephone Number : 781-331-0140
Fax Number : 781-337-4700
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2006
Last Update Date : 07/08/2007

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Directions to “ ELI C SCHNEIDER DMD” Practice Location

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