Healthcare Provider Details

I. General information

NPI: 1255742847
Provider Name (Legal Business Name): MR. AARON T SCHMICK
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2014
Last Update Date: 05/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

521 N 11TH ST VCU SCHOOL OF DENTISTRY DEPARTMENT OF PEDIATRICS
RICHMOND VA
23298-5045
US

IV. Provider business mailing address

5812 HOWE ST APT 21
PITTSBURGH PA
15232-2714
US

V. Phone/Fax

Practice location:
  • Phone: 804-828-1790
  • Fax:
Mailing address:
  • Phone: 570-337-4833
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: