Provider Demographics
NPI:1518298124
Name:SCHMID, BRIAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:
Last Name:SCHMID
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 WASHINGTON ST
Mailing Address - Street 2:NORWELL PEDIATRIC DENTISTRY
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061-1701
Mailing Address - Country:US
Mailing Address - Phone:781-659-7442
Mailing Address - Fax:781-659-4850
Practice Address - Street 1:317 WASHINGTON ST
Practice Address - Street 2:NORWELL PEDIATRIC DENTISTRY
Practice Address - City:NORWELL
Practice Address - State:MA
Practice Address - Zip Code:02061-1701
Practice Address - Country:US
Practice Address - Phone:781-658-7442
Practice Address - Fax:781-659-4850
Is Sole Proprietor?:No
Enumeration Date:2010-01-21
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN18553461223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry