Provider Demographics
NPI:1265736037
Name:ANGELA R. SCHMOYER DMD, LLC
Entity type:Organization
Organization Name:ANGELA R. SCHMOYER DMD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:R
Authorized Official - Last Name:SCHMOYER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:610-252-0646
Mailing Address - Street 1:2546 FREEMANSBURG AVE
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045-6040
Mailing Address - Country:US
Mailing Address - Phone:610-252-0646
Mailing Address - Fax:610-252-2128
Practice Address - Street 1:2546 FREEMANSBURG AVE
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-6040
Practice Address - Country:US
Practice Address - Phone:610-252-0646
Practice Address - Fax:610-252-2128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-07
Last Update Date:2011-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS036893261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental