Sara Collins Schneidewind, DDS
Individual provider Active NPI General Practice Dentistry · Ann Arbor, MI
NPI 1235358201 · NPPES record last updated Jan 26, 2022
Key facts
- NPI
- 1235358201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2901017867 (MI)
- Practice address
- 2310 E Stadium Blvd
Ann Arbor, MI 48104-4811 - Phone
- (734) 971-6400
- NPI assigned
- Apr 25, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160708000594 | MI | Order and Referring Only - Dentist |
7416249602 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901017867 | MI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Larock Dental | General Practice | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901017867 | MI | Yes |
Addresses
Primary practice location
2310 E Stadium Blvd
Ann Arbor, MI 48104-4811
Mailing address
3445 Andover Rd
Ann Arbor, MI 48105-2522
Phone (734) 669-0891
Other providers in Ann Arbor, MI
- Hannah Joelle Schneider
- Heidi Schneider
- Jeffrey Michael Schneider
- Lisa Schneider
- Jill Renee Schneiderhan
- Bernd Schnepel
- Ella Schnepp
- Megan Marie Schodowski
- Leah Jo Schoel
- Erin Marie Schoen
All providers in Ann Arbor, MI · General Practice Dentistry in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.