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Contact Information

KELLY A SCHNEIDER, DDS
224 W D. L. INGRAM AVENUE
BLDG. 1408
CANNON AFB, NM88103
 Phone: 920-973-8885
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for KELLY A SCHNEIDER · (Female)

NPI # 1205687662
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 04/01/2024
Last updated 10/02/2025 - About 8 months ago
Sole proprietor 1 No
Identifiers
  • WI License # 6001492-15
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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