MEDICARE: ANDREA SCHMERLER, DDS, LLC

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	305R00000X	Preferred Provider Organization	30022098	OH

General Provider Information

NPI Number	:	1609209139
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANDREA SCHMERLER, DDS, LLC

Provider Business Mailing Address
First Line	:	12500 REED HARTMAN HWY
Second Line	:	SUITE 110
City	:	CINCINNATI
State	:	OH
Zip	:	45241-1892
Country	:	US
Telephone Number	:	513-489-7800
Fax Number	:	513-489-7801

Provider Business Practice Location Address
First Line	:	12500 REED HARTMAN HWY
Second Line	:	SUITE 110
City	:	CINCINNATI
State	:	OH
Zip	:	45241-1892
Country	:	US
Telephone Number	:	513-489-7800
Fax Number	:	513-489-7801

Authorized Official
Title or Position	:	DENTIST/OWNER
Name	:	DR. ANDREA SCHMERLER
Credential	:	DDS
Telephone Number	:	513-489-7800

Provider Enumeration Date	:	08/20/2013
Last Update Date	:	08/20/2013

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