| Steven Schnoll Dds Sc | |
|
8606 W Wright St Wauwatosa WI 53226-1942 | |
| (414) 588-1365 | |
| Not Available |
| Full Name | Steven Schnoll Dds Sc |
|---|---|
| Speciality | Dentist |
| Location | 8606 W Wright St, Wauwatosa, Wisconsin |
| Authorized Official Name and Position | Steven Schnoll (OWNER) |
| Authorized Official Contact | 4145881365 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven Schnoll Dds Sc 8606 W Wright St Wauwatosa WI 53226-1942 Ph: (414) 588-1365 | Steven Schnoll Dds Sc 8606 W Wright St Wauwatosa WI 53226-1942 Ph: (414) 588-1365 |
| NPI Number | 1629628268 |
|---|---|
| Provider Enumeration Date | 09/16/2019 |
| Last Update Date | 12/06/2021 |
| Medicare PECOS PAC ID | 6608266515 |
|---|---|
| Medicare Enrollment ID | O20211208003079 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629628268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| Provider Name | Steven R Schnoll |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1366554941 PECOS PAC ID: 7911059605 Enrollment ID: I20090709000729 |
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