Provider Demographics
NPI:1740346170
Name:SCHMITT, STEVEN TODD (DMD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:TODD
Last Name:SCHMITT
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1692 FORT CAMPBELL BLVD
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37042-7531
Mailing Address - Country:US
Mailing Address - Phone:931-647-3960
Mailing Address - Fax:931-645-3545
Practice Address - Street 1:1692 FORT CAMPBELL BLVD
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37042-7531
Practice Address - Country:US
Practice Address - Phone:931-647-3960
Practice Address - Fax:931-645-3545
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY6111950511223G0001X
KY3645468141223G0001X
TNDS00000097721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY611195051OtherSENECA DENTAL CARE
KY364546814OtherLOUISVILLE SMILE CENTER