Provider Demographics
NPI:1629001631
Name:SCOTT D. SCHUMANN, D.D.S. & ASSOC. L.L.C
Entity Type:Organization
Organization Name:SCOTT D. SCHUMANN, D.D.S. & ASSOC. L.L.C
Other - Org Name:GROVE CITY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:D
Authorized Official - Last Name:SCHUMANN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:614-801-1000
Mailing Address - Street 1:4079 GANTZ RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-4912
Mailing Address - Country:US
Mailing Address - Phone:614-801-1000
Mailing Address - Fax:614-801-0003
Practice Address - Street 1:4079 GANTZ RD
Practice Address - Street 2:SUITE A
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-4912
Practice Address - Country:US
Practice Address - Phone:614-801-1000
Practice Address - Fax:614-801-0003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH19001122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty