Provider Demographics
NPI:1861019127
Name:SCHEMINE, KRISTIN M (DDS)
Entity Type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:M
Last Name:SCHEMINE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4920 SILO CT
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-7951
Mailing Address - Country:US
Mailing Address - Phone:614-312-1170
Mailing Address - Fax:
Practice Address - Street 1:1028 COLUMBUS ST
Practice Address - Street 2:
Practice Address - City:ETNA
Practice Address - State:OH
Practice Address - Zip Code:43018-9015
Practice Address - Country:US
Practice Address - Phone:740-927-7645
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-02
Last Update Date:2020-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0262211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice