Provider Demographics
NPI:1164847281
Name:SCHUMER DENTAL P.C.
Entity Type:Organization
Organization Name:SCHUMER DENTAL P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:COREY
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:SCHUMER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:520-745-0126
Mailing Address - Street 1:899 N WILMOT RD STE E5
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-1717
Mailing Address - Country:US
Mailing Address - Phone:520-745-0126
Mailing Address - Fax:520-790-4722
Practice Address - Street 1:899 N WILMOT RD STE E5
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-1717
Practice Address - Country:US
Practice Address - Phone:520-745-0126
Practice Address - Fax:520-790-4722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-26
Last Update Date:2014-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7955122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty