Provider Demographics
NPI:1073748224
Name:SCHMIDT ORTHODONTICS PLLC
Entity Type:Organization
Organization Name:SCHMIDT ORTHODONTICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:D
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MSD
Authorized Official - Phone:360-738-4772
Mailing Address - Street 1:3115 HOWE PL
Mailing Address - Street 2:#201
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226-5647
Mailing Address - Country:US
Mailing Address - Phone:360-738-4772
Mailing Address - Fax:360-922-0299
Practice Address - Street 1:3115 HOWE PL
Practice Address - Street 2:#201
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-5647
Practice Address - Country:US
Practice Address - Phone:360-738-4772
Practice Address - Fax:360-922-0299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-18
Last Update Date:2009-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA108541223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty