MEDICARE: LANCASTER DENTAL CARE, PC

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588669881
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LANCASTER DENTAL CARE, PC

Provider Business Mailing Address
First Line	:	22 BUNKER HILL ST
Second Line	:	PO BOX 7
City	:	LANCASTER
State	:	NH
Zip	:	03584-3009
Country	:	US
Telephone Number	:	603-788-2517
Fax Number	:	603-788-2520

Provider Business Practice Location Address
First Line	:	22 BUNKER HILL ST
Second Line	:
City	:	LANCASTER
State	:	NH
Zip	:	03584-3009
Country	:	US
Telephone Number	:	603-788-2517
Fax Number	:	603-788-2520

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CHARLES J SCHMIDT
Credential	:	D.D.S..
Telephone Number	:	603-788-2517

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	01/04/2013

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