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NPI Code Detail

MEDICARE: DR. DAVID HEDGES SCHROEDER DDS MSD

MEDICARE: DR. DAVID HEDGES SCHROEDER DDS MSD
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
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry7582CO

General Provider Information

NPI Number : 1841414828
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID HEDGES SCHROEDER DDS MSD
Provider Business Mailing Address
First Line : 1694 EAST CHEYENNE MTN BLVD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80906
Country : US
Telephone Number : 719-538-4671
Fax Number : 719-538-4672
Provider Business Practice Location Address
First Line : 1694 EAST CHEYENNE MTN BLVD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80906
Country : US
Telephone Number : 719-538-4671
Fax Number : 719-538-4672
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2007
Last Update Date : 07/08/2007

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