MEDICARE: BURTON D. SCHNIEROW, DDS, INC

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	16629	CA
2	1223P0300X	Periodontics	17750	CA
3	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	43530	CA
4	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	47526	CA
5	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	19083	CA
6	1223E0200X	Endodontics	48619	CA

NPI Number	:	1922174895
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BURTON D. SCHNIEROW, DDS, INC

Provider Business Mailing Address
First Line	:	13450 HAWTHORNE BLVD
Second Line	:
City	:	HAWTHORNE
State	:	CA
Zip	:	90250-5806
Country	:	US
Telephone Number	:	310-679-0106
Fax Number	:	310-679-6698

Provider Business Practice Location Address
First Line	:	13450 HAWTHORNE BLVD
Second Line	:
City	:	HAWTHORNE
State	:	CA
Zip	:	90250-5806
Country	:	US
Telephone Number	:	310-679-0106
Fax Number	:	310-679-6698

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. BURTON SCHNIEROW
Credential	:	D.D.S.
Telephone Number	:	310-679-0106

Provider Enumeration Date	:	11/24/2006
Last Update Date	:	09/11/2025

13440 HAWTHORNE BLVD
HAWTHORNE, CA
90250-5806

Practice Phone: 310-219-0941
Practice Fax: 310-219-1482

13450 HAWTHORNE BLVD
HAWTHORNE, CA
90250-5806