MEDICARE: DAVID SCHUMANN 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
1	1223G0001X	General Practice Dentistry	3962	OK

General Provider Information

NPI Number	:	1285769026
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID SCHUMANN DDS

Provider Business Mailing Address
First Line	:	1025 STRAKA TER
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73139-2544
Country	:	US
Telephone Number	:	405-632-6688
Fax Number	:	405-604-0708

Provider Business Practice Location Address
First Line	:	307 W. MAIN ST
Second Line	:
City	:	FT. COBB
State	:	OK
Zip	:	73038-0000
Country	:	US
Telephone Number	:	405-643-2020
Fax Number	:	405-643-9960

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2007
Last Update Date	:	05/04/2011

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