Provider Demographics
NPI:1720727258
Name:DR ROBERT SCHMIDT PLLC
Entity Type:Organization
Organization Name:DR ROBERT SCHMIDT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:704-070-3486
Mailing Address - Street 1:1808 HUNTLEY RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-6901
Mailing Address - Country:US
Mailing Address - Phone:704-607-0348
Mailing Address - Fax:
Practice Address - Street 1:1808 HUNTLEY RIDGE DR
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-6901
Practice Address - Country:US
Practice Address - Phone:704-607-0348
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-02
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty