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General NPI Number Information
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NPI Number | 1093870305
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Entity Type | Organization
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Legal Business Name | TERRY J SCHMITT DDS PC
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2100 ASBURY RD SUITE 3
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City | DUBUQUE
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State | IA
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Zip | 52001-3091
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Country | US
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Telephone | 563-588-0114
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Fax | 563-588-8670
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Provider Business Mailing Address
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Address Line | 2100 ASBURY RD SUITE 3
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City | DUBUQUE
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State | IA
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Zip | 52001-3091
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Country | US
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Telephone | 563-588-0114
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Fax | 563-588-8670
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Authorized Official
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Title or Position | DR-DENTIST
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Name | DR. TERRY J SCHMITT
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Credential | DDS PC
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Telephone | 563-583-0114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 08111
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License Number State | IA
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