Healthcare Provider Details

I. General information

NPI: 1639451016
Provider Name (Legal Business Name): ERICH C SCHMIDT DMD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2011
Last Update Date: 09/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 SOUTH ST
PITTSFIELD MA
01201-6892
US

IV. Provider business mailing address

435 SOUTH ST
PITTSFIELD MA
01201-6892
US

V. Phone/Fax

Practice location:
  • Phone: 413-445-4592
  • Fax:
Mailing address:
  • Phone: 413-445-4592
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number
License Number State

VIII. Authorized Official

Name: DR. ERICH C SCHMIDT
Title or Position: PERIODONTIT
Credential: DMD
Phone: 413-445-4592