=====================================================
General NPI Number Information
=====================================================
NPI Number | 1942429139
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | GARY EDWARD SCHUMACHER D.D.S.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/25/2007
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | NIST PAFFENBARGER RESEARCH CTR 100 BUREAU DRIVE STOP 8546
-----------------------------------------------------
City | GAITHERSBURG
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20899-8546
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-975-6805
-----------------------------------------------------
Fax | 301-963-9143
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | NIST PAFFENBARGER RESEARCH CTR 100 BUREAU DRIVE STOP 8546
-----------------------------------------------------
City | GAITHERSBURG
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20899-8546
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-975-6805
-----------------------------------------------------
Fax | 301-963-9143
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 122300000X
-----------------------------------------------------
Taxonomy Name | Dentist
-----------------------------------------------------
License Number | 12236
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 122300000X
-----------------------------------------------------
Taxonomy Name | Dentist
-----------------------------------------------------
License Number | 30.014471
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------