Provider Demographics
NPI:1548324973
Name:SCHNEPPER, GRETCHEN M (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:GRETCHEN
Middle Name:M
Last Name:SCHNEPPER
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2702 NE 78TH ST STE 106
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98665-0649
Mailing Address - Country:US
Mailing Address - Phone:360-260-5113
Mailing Address - Fax:360-256-5096
Practice Address - Street 1:2702 NE 78TH ST STE 106
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98665-0649
Practice Address - Country:US
Practice Address - Phone:360-260-5113
Practice Address - Fax:360-256-5096
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2010-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA000104901223X0400X
CA527781223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics