Provider Demographics
NPI:1356928113
Name:SCHIEDER, GEORGE FREDERICK IV (DMD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:FREDERICK
Last Name:SCHIEDER
Suffix:IV
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:266 OLD RIVER RD
Mailing Address - Street 2:
Mailing Address - City:MAYS LANDING
Mailing Address - State:NJ
Mailing Address - Zip Code:08330-1642
Mailing Address - Country:US
Mailing Address - Phone:609-335-0614
Mailing Address - Fax:
Practice Address - Street 1:34302 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:WILLOUGHBY HILLS
Practice Address - State:OH
Practice Address - Zip Code:44094-3334
Practice Address - Country:US
Practice Address - Phone:440-722-9330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-26
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.026600122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist