Provider Demographics
NPI:1003834656
Name:SCHMIDT, ERICH STIRLING (DDS)
Entity Type:Individual
Prefix:DR
First Name:ERICH
Middle Name:STIRLING
Last Name:SCHMIDT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1938 VIA CTR
Mailing Address - Street 2:SUITE A
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92081-6056
Mailing Address - Country:US
Mailing Address - Phone:760-433-9255
Mailing Address - Fax:760-433-8986
Practice Address - Street 1:1938 VIA CTR
Practice Address - Street 2:SUITE A
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92081-6056
Practice Address - Country:US
Practice Address - Phone:760-433-9255
Practice Address - Fax:760-433-8986
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA464291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice