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NPI Code Detail

MEDICARE: DR. ROBERT BURL SCHMITT DDS

MEDICARE: DR. ROBERT BURL SCHMITT DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry30 . 013149OH

General Provider Information

NPI Number : 1073552188
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT BURL SCHMITT DDS
Provider Business Mailing Address
First Line : 875 HOWARD RD
Second Line :
City : WAVERLY
State : OH
Zip : 45690-9427
Country : US
Telephone Number : 740-947-5583
Fax Number : 740-947-8645
Provider Business Practice Location Address
First Line : 216 E NORTH ST
Second Line :
City : WAVERLY
State : OH
Zip : 45690-1148
Country : US
Telephone Number : 740-947-5044
Fax Number : 740-947-8645
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2006
Last Update Date : 07/08/2007

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