Individual
DR. JACK DOUGLASS SCHNEIDER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5310 S 56TH ST, STE 3, LINCOLN, NE 68516-1892
(402) 423-2900
(402) 423-2907
Mailing address
5310 S 56TH ST, STE 3, LINCOLN, NE 68516-1892
(402) 423-2900
(402) 423-2907
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4860
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470680876-00
—
NE
Enumeration date
05/27/2005
Last updated
07/08/2007
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