Provider Demographics
NPI:1982612727
Name:SCHUMANN, NANCY YANG (DDS)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:YANG
Last Name:SCHUMANN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5330 DISCOVERY PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23188
Mailing Address - Country:US
Mailing Address - Phone:757-564-0900
Mailing Address - Fax:757-903-4671
Practice Address - Street 1:5330 DISCOVERY PARK BLVD
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23188
Practice Address - Country:US
Practice Address - Phone:757-564-0900
Practice Address - Fax:757-903-4671
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2011-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010079161223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA542014284OtherDELTA DENTAL
VA133952OtherUNITED CONCORDIA