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1174533327

NPI Code Detail

MEDICARE: SCHRAMM AND SYMANCYK, PLLC

MEDICARE: SCHRAMM AND SYMANCYK, PLLC

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	1223G0001X	General Practice Dentistry	VT625	VT
2	122300000X	Dentist	106.0086114	VT
3	1223G0001X	General Practice Dentistry	VT1028	VT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174533327
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCHRAMM AND SYMANCYK, PLLC

Provider Business Mailing Address
First Line	:	PO BOX 948
Second Line	:
City	:	WHITE RIVER JUNCTION
State	:	VT
Zip	:	05001-0948
Country	:	US
Telephone Number	:	802-295-2458
Fax Number	:	802-295-3985

Provider Business Practice Location Address
First Line	:	1049 NORTH HARTLAND ROAD
Second Line	:
City	:	WHITE RIVER JUNCTION
State	:	VT
Zip	:	05001
Country	:	US
Telephone Number	:	802-295-2458
Fax Number	:	802-295-3985

Authorized Official
Title or Position	:	CO OWNER GENERAL DENTIST
Name	:	RICHARD G SCHRAMM
Credential	:	DMD
Telephone Number	:	802-295-2458

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	07/20/2016

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Directions to “SCHRAMM AND SYMANCYK, PLLC ” Practice Location

Language	Start Address	Practice Location

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