Provider Demographics
NPI:1457464604
Name:SCHMIDT, KARLA B (DDS)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:B
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 1:950 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:EAST AURORA
Mailing Address - State:NY
Mailing Address - Zip Code:14052-1924
Mailing Address - Country:US
Mailing Address - Phone:716-652-7645
Mailing Address - Fax:716-652-6125
Practice Address - Street 1:950 MAIN ST
Practice Address - Street 2:
Practice Address - City:EAST AURORA
Practice Address - State:NY
Practice Address - Zip Code:14052-1924
Practice Address - Country:US
Practice Address - Phone:716-652-7645
Practice Address - Fax:716-652-6125
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2011-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054863122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist