Provider Demographics
NPI:1396042495
Name:SCHMIDT, ALAINA (DDS)
Entity Type:Individual
Prefix:
First Name:ALAINA
Middle Name:
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:675 LAFAYETTE AVE APT 5301
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-6500
Mailing Address - Country:US
Mailing Address - Phone:213-393-4239
Mailing Address - Fax:
Practice Address - Street 1:141 BANKS STA STE 121-122
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-7504
Practice Address - Country:US
Practice Address - Phone:770-716-9778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-25
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN014528122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist