# KENNETH M. SCHNEIDER, JR., D.D.S, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891996948
- **Authorized official:** DR. KENNETH MARTIN SCHNEIDER JR. D.D.S. (DENTIST, OWNER)
- **Authorized official phone:** (704) 895-3320

## Contact information

- **Practice address:** 20905 TORRENCE CHAPEL RD, SUITE 201, CORNELIUS, NC 28031-4300
- **Practice address phone:** (704) 895-3320
- **Practice address fax:** (704) 895-3321
- **Mailing address:** PO BOX 1322, CORNELIUS, NC 28031-1322
- **Mailing address phone:** (704) 895-3320
- **Mailing address fax:** (704) 895-3321

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6635 | NC | Yes |

## Other

- **Enumeration date:** 05/29/2007
- **Last updated:** 08/22/2020