Provider Demographics
NPI:1720015522
Name:SCHMITT, TRAVIS A (DDS)
Entity Type:Individual
Prefix:DR
First Name:TRAVIS
Middle Name:A
Last Name:SCHMITT
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 1:301 22ND ST NW
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:MN
Mailing Address - Zip Code:55912-1144
Mailing Address - Country:US
Mailing Address - Phone:507-433-6344
Mailing Address - Fax:
Practice Address - Street 1:204 4TH ST SW
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:MN
Practice Address - Zip Code:55912-4427
Practice Address - Country:US
Practice Address - Phone:507-437-2023
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND10821122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist