Provider Demographics
NPI:1174887392
Name:SCHNIEDER, LAURA SILLS (DMD)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:SILLS
Last Name:SCHNIEDER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:MARIE
Other - Last Name:SILLS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:29834 N. CAVE CREEK RD
Mailing Address - Street 2:SUITE 138
Mailing Address - City:CAVE CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85331
Mailing Address - Country:US
Mailing Address - Phone:480-563-5237
Mailing Address - Fax:
Practice Address - Street 1:2525 W CAREFREE HWY STE 154
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85085-9305
Practice Address - Country:US
Practice Address - Phone:623-533-5699
Practice Address - Fax:623-533-5832
Is Sole Proprietor?:No
Enumeration Date:2012-07-02
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ84391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice