Provider Demographics
NPI:1528476330
Name:SCHNEIDER, KARLEY RITA (DMD)
Entity type:Individual
Prefix:
First Name:KARLEY
Middle Name:RITA
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:KARLEY
Other - Middle Name:RITA
Other - Last Name:BEDFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:1607 W INA RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-1979
Mailing Address - Country:US
Mailing Address - Phone:520-888-2900
Mailing Address - Fax:520-408-1854
Practice Address - Street 1:1607 W INA RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-1979
Practice Address - Country:US
Practice Address - Phone:520-888-2900
Practice Address - Fax:520-408-1854
Is Sole Proprietor?:No
Enumeration Date:2014-07-24
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD100951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice