Provider Demographics
NPI:1114111226
Name:SCHMAHL, SHARON RUTH (DDS MSD)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:RUTH
Last Name:SCHMAHL
Suffix:
Gender:F
Credentials:DDS MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1186 BELL ST.
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44022-4122
Mailing Address - Country:US
Mailing Address - Phone:440-338-5666
Mailing Address - Fax:440-338-5668
Practice Address - Street 1:1186 BELL ST.
Practice Address - Street 2:
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44022-4122
Practice Address - Country:US
Practice Address - Phone:440-338-5666
Practice Address - Fax:440-338-5668
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-31
Last Update Date:2007-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics