MEDICARE: NICOLE SMOKER SCHMALTZ RDH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	124Q00000X	Dental Hygienist	2902010734	MI

General Provider Information

NPI Number	:	1083415707
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE SMOKER SCHMALTZ RDH

Provider Business Mailing Address
First Line	:	12 PARSONS CT
Second Line	:
City	:	COLDWATER
State	:	MI
Zip	:	49036-1118
Country	:	US
Telephone Number	:	269-967-3100
Fax Number	:

Provider Business Practice Location Address
First Line	:	32 DIVISION ST
Second Line	:
City	:	COLDWATER
State	:	MI
Zip	:	49036-1966
Country	:	US
Telephone Number	:	269-978-8339
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2025
Last Update Date	:	03/19/2025

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Directions to “ NICOLE SMOKER SCHMALTZ RDH” Practice Location

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