Provider Demographics
NPI:1245239755
Name:SCHLIMMER, RONALD R (DDS)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:R
Last Name:SCHLIMMER
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 1:5525 S STAPLES ST
Mailing Address - Street 2:ST A4
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-5357
Mailing Address - Country:US
Mailing Address - Phone:361-994-1982
Mailing Address - Fax:
Practice Address - Street 1:5525 S. STAPLES
Practice Address - Street 2:ST A4
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78413-3782
Practice Address - Country:US
Practice Address - Phone:361-994-1982
Practice Address - Fax:361-993-9222
Is Sole Proprietor?:No
Enumeration Date:2005-07-18
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX105461223S0112X, 1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1305914-04Medicaid
TX1305914-06Medicaid
TXD10546OtherDELTA TX CHIPS
TX424189OtherUNITED CONCORDIA
TX742404710OtherTAX ID
TX742404710OtherTAX ID
TX1305914-06Medicaid
TX1305914-04Medicaid