Organization Name: | JUDITH K. SCHMIDT, D.D.S., P.C. |
NPI Number: | 1003090630 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JUDITH K SCHMIDT (PRESIDENT) |
Mailing Address: | 2005 Woodland Drive Wahpeton |
State: | ND US |
Postal Code: | 58075 |
Phone Number: | 7016729595 |
Fax Number: | 7016729599 |
NPI Enumeration Date: | 12/18/2007 |
NPI Last Update Date: | 12/18/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | 1995 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ND |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |