Healthcare Provider Details

I. General information

NPI: 1477657153
Provider Name (Legal Business Name): MICHAEL JOSEPH SCHMITT DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2006
Last Update Date: 10/25/2023
Certification Date: 08/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

418 N MAIN ST
BROOKLYN MI
49230-8977
US

IV. Provider business mailing address

418 N MAIN ST
BROOKLYN MI
49230-8977
US

V. Phone/Fax

Practice location:
  • Phone: 517-592-8422
  • Fax: 517-592-8424
Mailing address:
  • Phone: 517-592-8422
  • Fax: 517-592-8424

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number2901015892
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: