Provider Demographics
NPI:1669019782
Name:RMS DDS, PLLC
Entity Type:Organization
Organization Name:RMS DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHMIDGALL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:817-266-7271
Mailing Address - Street 1:4255 BRYANT IRVIN RD STE 111
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76109-4224
Mailing Address - Country:US
Mailing Address - Phone:817-731-9487
Mailing Address - Fax:817-731-2846
Practice Address - Street 1:4255 BRYANT IRVIN RD STE 111
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76109-4224
Practice Address - Country:US
Practice Address - Phone:817-266-7271
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-09
Last Update Date:2019-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty