Provider Demographics
NPI:1386777027
Name:SCHNEEWEISS, DAVID M (DDS, M,S,D)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:M
Last Name:SCHNEEWEISS
Suffix:
Gender:M
Credentials:DDS, M,S,D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 PATRICIA LN
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-1601
Mailing Address - Country:US
Mailing Address - Phone:845-362-5931
Mailing Address - Fax:845-362-8821
Practice Address - Street 1:455 ROUTE 306
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-1209
Practice Address - Country:US
Practice Address - Phone:845-362-7223
Practice Address - Fax:845-362-8821
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY043083-11223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics