Provider Demographics
NPI:1255746806
Name:SCHMIDT, ANNE MARIE (DDS)
Entity type:Individual
Prefix:DR
First Name:ANNE
Middle Name:MARIE
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:ANNE
Other - Middle Name:MARIE
Other - Last Name:CASON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:1090 ARNOLD DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK AIR FORCE BASE
Mailing Address - State:AR
Mailing Address - Zip Code:72099-4933
Mailing Address - Country:US
Mailing Address - Phone:501-987-7304
Mailing Address - Fax:501-987-7372
Practice Address - Street 1:1090 ARNOLD DR
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK AIR FORCE BASE
Practice Address - State:AR
Practice Address - Zip Code:72099-2546
Practice Address - Country:US
Practice Address - Phone:501-987-7304
Practice Address - Fax:501-987-7372
Is Sole Proprietor?:No
Enumeration Date:2014-06-23
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS614981223G0001X
AR39941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice