Individual
JUSTIN SCHNEIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4410 W 16TH AVE STE 52, HIALEAH, FL 33012-7193
(305) 825-9899
Mailing address
601 NE 36TH ST APT 805, MIAMI, FL 33137-3911
(243) 924-9962
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.030289
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN26702
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118490600
—
FL
Enumeration date
06/08/2015
Last updated
12/26/2023
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