Provider Demographics
NPI:1588669881
Name:LANCASTER DENTAL CARE, PC
Entity Type:Organization
Organization Name:LANCASTER DENTAL CARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:603-788-2517
Mailing Address - Street 1:22 BUNKER HILL ST
Mailing Address - Street 2:PO BOX 7
Mailing Address - City:LANCASTER
Mailing Address - State:NH
Mailing Address - Zip Code:03584-3009
Mailing Address - Country:US
Mailing Address - Phone:603-788-2517
Mailing Address - Fax:603-788-2520
Practice Address - Street 1:22 BUNKER HILL ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:NH
Practice Address - Zip Code:03584-3009
Practice Address - Country:US
Practice Address - Phone:603-788-2517
Practice Address - Fax:603-788-2520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-15
Last Update Date:2013-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH89191932Medicaid