Provider Demographics
NPI:1679969554
Name:SCHMITT, HALEY E (DDS)
Entity Type:Individual
Prefix:DR
First Name:HALEY
Middle Name:E
Last Name:SCHMITT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:HALEY
Other - Middle Name:E
Other - Last Name:HAUSSER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:3612 AUSTIN DAVIS AVE
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-7401
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5120 VIRGINIA WAY STE B12
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-7515
Practice Address - Country:US
Practice Address - Phone:615-373-0883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-08
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN231311223G0001X
TN109351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice