Individual
THOMAS CLINTON SCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
307 W CLAY, ALBANY, MO 64402
(660) 726-5822
Mailing address
307 W CLAY, ALBANY, MO 64402
(660) 726-5822
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13256
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11043014
BCBS
—
01
—
690525
UNITED CONCORDIA
—
Enumeration date
01/16/2007
Last updated
07/08/2007
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