Individual provider · Type 1 NPI

Coralie Schneider, DDS

Oral and Maxillofacial Surgery (Dentist) · Boston, MA

NPI number 1164653192 Active

Practice location

188 Longwood Ave
Boston, MA 02115-5819

Fax (617) 432-3881

Mailing address

53 Concord Ave Apt 3
Somerville, MA 02143-3927

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDL10716 (MA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1164653192

Coralie Schneider, DDS's National Provider Identifier is 1164653192, issued on Aug 8, 2009. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Boston, MA. The record was last updated on Aug 8, 2009.