Provider Demographics
NPI:1942429139
Name:SCHUMACHER, GARY EDWARD (DDS)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:EDWARD
Last Name:SCHUMACHER
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:NIST PAFFENBARGER RESEARCH CTR
Mailing Address - Street 2:100 BUREAU DRIVE STOP 8546
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20899-8546
Mailing Address - Country:US
Mailing Address - Phone:301-975-6805
Mailing Address - Fax:301-963-9143
Practice Address - Street 1:NIST PAFFENBARGER RESEARCH CTR
Practice Address - Street 2:100 BUREAU DRIVE STOP 8546
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20899-8546
Practice Address - Country:US
Practice Address - Phone:301-975-6805
Practice Address - Fax:301-963-9143
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD12236122300000X
OH30.014471122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist