Individual
DR. JEFF C SCHROEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
211 E STEPHEN FOSTER AVE, BARDSTOWN, KY 40004-1513
(502) 348-2001
Mailing address
211 E STEPHEN FOSTER AVE, BARDSTOWN, KY 40004-1513
(502) 348-2001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5570
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60055704
—
KY
Enumeration date
10/13/2005
Last updated
06/29/2015
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