Provider Demographics
NPI:1245699917
Name:SCHNEIDER, SHERRI LYNN (DMD)
Entity type:Individual
Prefix:DR
First Name:SHERRI
Middle Name:LYNN
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 N YORK RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:HATBORO
Mailing Address - State:PA
Mailing Address - Zip Code:19040-2617
Mailing Address - Country:US
Mailing Address - Phone:215-443-5400
Mailing Address - Fax:215-957-0334
Practice Address - Street 1:122 N YORK RD
Practice Address - Street 2:SUITE 2
Practice Address - City:HATBORO
Practice Address - State:PA
Practice Address - Zip Code:19040-2617
Practice Address - Country:US
Practice Address - Phone:215-443-5400
Practice Address - Fax:215-957-0334
Is Sole Proprietor?:No
Enumeration Date:2016-02-23
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS030728L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice