Provider Demographics
NPI:1619904356
Name:SCHUMACHER, MARK H (DMD, PA)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:H
Last Name:SCHUMACHER
Suffix:
Gender:M
Credentials:DMD, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15755 OCEAN BREEZE LN
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-7129
Mailing Address - Country:US
Mailing Address - Phone:561-795-1978
Mailing Address - Fax:561-795-9508
Practice Address - Street 1:685 ROYAL PALM BEACH BLVD
Practice Address - Street 2:SUITE 204
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-7642
Practice Address - Country:US
Practice Address - Phone:561-795-1978
Practice Address - Fax:561-795-9508
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL84251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice