MEDICARE: DR. DENNIS JOHN SCHMIDT DDS

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	51649	CA
2	1223G0001X	General Practice Dentistry	2024006686	MO
3	1223G0001X	General Practice Dentistry	4564	AR

General Provider Information

NPI Number	:	1356408173
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DENNIS JOHN SCHMIDT DDS

Provider Business Mailing Address
First Line	:	1506 FONTAINE CT
Second Line	:
City	:	CENTERTON
State	:	AR
Zip	:	72719-8808
Country	:	US
Telephone Number	:	209-573-1667
Fax Number	:

Provider Business Practice Location Address
First Line	:	3207 W ARAPAHO DR
Second Line	:
City	:	ROGERS
State	:	AR
Zip	:	72758-1363
Country	:	US
Telephone Number	:	479-621-9700
Fax Number	:

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

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	03/11/2026

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Directions to “ DR. DENNIS JOHN SCHMIDT DDS” Practice Location

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