MEDICARE: DR. STEPHEN MICHAEL SCHMITT D.D.S.M.S.

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	1223P0700X	Prosthodontics	17770	TX
2	1223P0700X	Prosthodontics	2403-015	WI

General Provider Information

NPI Number	:	1528182888
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN MICHAEL SCHMITT D.D.S.M.S.

Provider Business Mailing Address
First Line	:	16119 DEER CRST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78248-1730
Country	:	US
Telephone Number	:	210-493-8166
Fax Number	:	210-493-1234

Provider Business Practice Location Address
First Line	:	7826 LOUIS PASTEUR DR STE 104
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3410
Country	:	US
Telephone Number	:	210-587-6857
Fax Number	:	210-587-6859

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

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	07/08/2007

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