Kelly Amanda Schneider, DDS

NPI #1205687662 in Cannon Afb, New Mexico

Provider Information

NPI Number: 1205687662
Entity Type: Individual
Name: Kelly Amanda Schneider, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Apr 1, 2024
Last Updated: Oct 2, 2025

Practice Location

Address: 224 W D. L. INGRAM AVENUE
Address 2: BLDG. 1408
City: Cannon Afb
State: New Mexico
ZIP Code: 88103
Phone: (920) 973-8885

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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