Healthcare Provider Details

I. General information

NPI: 1154660348
Provider Name (Legal Business Name): SCHUMACHER AND BAUER DDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2013
Last Update Date: 04/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 OLENTANGY RIVER RD SUITE 500B
COLUMBUS OH
43214-3437
US

IV. Provider business mailing address

3600 OLENTANGY RIVER RD SUITE 500B
COLUMBUS OH
43214-3437
US

V. Phone/Fax

Practice location:
  • Phone: 614-451-1110
  • Fax: 614-451-9205
Mailing address:
  • Phone: 614-451-1110
  • Fax: 614-451-9205

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL SCHUMACHER
Title or Position: DENTIST
Credential: D.D.S.
Phone: 614-451-1110