Provider Demographics
NPI:1699851964
Name:SCHMITT, MARGARET ANNE
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:ANNE
Last Name:SCHMITT
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:M.
Other - Middle Name:ANNE
Other - Last Name:SCHMITT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:511 W HANLEY AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83815-8995
Mailing Address - Country:US
Mailing Address - Phone:208-667-0824
Mailing Address - Fax:208-667-1216
Practice Address - Street 1:511 W HANLEY AVE
Practice Address - Street 2:SUITE C
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83815-8995
Practice Address - Country:US
Practice Address - Phone:208-667-0824
Practice Address - Fax:208-667-1216
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID2008-051223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery