Organization
G SCHNEPPER DDS MS PLLC
Active
Other names
The Modern Orthodontist
Organization subpart
No
Provider details
NPI number
Authorized official
LEVON BROWN (FINANCIAL COORDINATOR)
(360) 260-5113
Entity
Organization
Contact information
Practice address
2702 NE 78TH ST STE 106, VANCOUVER, WA 98665-0664
(360) 260-5113
(360) 567-2447
Mailing address
2702 NE 78TH ST STE 106, VANCOUVER, WA 98665-0664
(360) 260-5113
(360) 567-2447
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548324973
NPI
—
01
—
DE00010490
DENTAL LICENSE
WA
Enumeration date
01/20/2022
Last updated
01/20/2022
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