Provider Demographics
NPI:1992891923
Name:SCHROEPFER, BRIAN G (DDS)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:G
Last Name:SCHROEPFER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3212 CLEVELAND AVE
Mailing Address - Street 2:SCHROEPFER FAMILY DENTAL
Mailing Address - City:MARINETTE
Mailing Address - State:WI
Mailing Address - Zip Code:54143-3743
Mailing Address - Country:US
Mailing Address - Phone:715-735-9490
Mailing Address - Fax:715-735-9492
Practice Address - Street 1:3212 CLEVELAND AVE
Practice Address - Street 2:SCHROEPFER FAMILY DENTAL
Practice Address - City:MARINETTE
Practice Address - State:WI
Practice Address - Zip Code:54143-3743
Practice Address - Country:US
Practice Address - Phone:715-735-9490
Practice Address - Fax:715-735-9492
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2010-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5734015122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist