Provider Demographics
NPI:1811037609
Name:SCHMIDT, DAVID LAWRENCE (DDS MS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:LAWRENCE
Last Name:SCHMIDT
Suffix:
Gender:M
Credentials:DDS MS
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Mailing Address - Street 1:106 ROSE GARDEN DRIVE
Mailing Address - Street 2:
Mailing Address - City:UNIVERSAL CITY
Mailing Address - State:TX
Mailing Address - Zip Code:78148-3422
Mailing Address - Country:US
Mailing Address - Phone:210-658-2251
Mailing Address - Fax:210-658-9730
Practice Address - Street 1:106 ROSE GARDEN DRIVE
Practice Address - Street 2:
Practice Address - City:UNIVERSAL CITY
Practice Address - State:TX
Practice Address - Zip Code:78148-3422
Practice Address - Country:US
Practice Address - Phone:210-658-2251
Practice Address - Fax:210-658-9730
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX91171223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics