Provider Demographics
NPI:1255143327
Name:ADAM E. SCHMIDT DDS
Entity type:Organization
Organization Name:ADAM E. SCHMIDT DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:E
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:757-253-2393
Mailing Address - Street 1:PO BOX 269068
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73126-9068
Mailing Address - Country:US
Mailing Address - Phone:757-253-2393
Mailing Address - Fax:757-259-0433
Practice Address - Street 1:1323 JAMESTOWN RD STE 203
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185-3367
Practice Address - Country:US
Practice Address - Phone:757-253-2393
Practice Address - Fax:757-259-0433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-24
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty