Provider Demographics
NPI:1689904278
Name:SCHOTT, RICHARD NATE (DDS)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:NATE
Last Name:SCHOTT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1754 S RUTHERFORD BLVD
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130-0721
Mailing Address - Country:US
Mailing Address - Phone:615-849-1292
Mailing Address - Fax:615-849-1293
Practice Address - Street 1:1754 S RUTHERFORD BLVD
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-0721
Practice Address - Country:US
Practice Address - Phone:615-849-1292
Practice Address - Fax:615-849-1293
Is Sole Proprietor?:No
Enumeration Date:2010-01-05
Last Update Date:2010-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN54141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice