MEDICARE: DR. ANNE MARIE SCHMIDT D.D.S.

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	61498	KS
2	1223G0001X	General Practice Dentistry	3994	AR

General Provider Information

NPI Number	:	1255746806
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNE MARIE SCHMIDT D.D.S.

Provider Business Mailing Address
First Line	:	1090 ARNOLD DR
Second Line	:
City	:	LITTLE ROCK AIR FORCE BASE
State	:	AR
Zip	:	72099-4933
Country	:	US
Telephone Number	:	501-987-7304
Fax Number	:	501-987-7372

Provider Business Practice Location Address
First Line	:	1090 ARNOLD DR
Second Line	:
City	:	LITTLE ROCK AIR FORCE BASE
State	:	AR
Zip	:	72099-2546
Country	:	US
Telephone Number	:	501-987-7304
Fax Number	:	501-987-7372

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

Provider Enumeration Date	:	06/23/2014
Last Update Date	:	04/03/2023

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