CRAIG D SCHMIDTKE (NPI# 1467550400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467550400 |
| Entity Type | Individual |
| Full Name | CRAIG D SCHMIDTKE |
| Credential | D.D.S |
| Practice Address |
100 Metro Dr Dothan AL 36303-1985 |
| Practice Telephone | 3346995555 |
| Practice Fax Number | 3346995558 |
| Mailing Telephone | 3346995555 |
| Mailing Fax Number | 3346995558 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
5391C | AL | Dental Providers |
| X | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
5391C | AL | Dental Providers |
| X | 1223X0008X |
Dentist Specialization: Oral and Maxillofacial Radiology |
5391C | AL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS OF AL PROVIDER #I | 51529237 | 01 |
| AL | UNITED CONCORDIA PROVI # | 755031 | 01 |
| AL | ALABAMA LICENSE # | 5391C | 01 |
| Street Address |
100 METRO DR |
| City | DOTHAN |
| State | AL |
| Zip Code | 36303-1985 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316580046 | Al Dothan Dental Professionals PC | Dentist | 100 Metro Dr, Dothan, AL 36303-1985 | 2019-10-25 |
| 1023289998 | Metro Oral & Maxillofacial | Dentist | 100 Metro Dr, Dothan, AL 36303-1985 | 2008-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194205740 | Emblom & Vaughn, D.m.d., PC | Dentist | 318 Healthwest Dr., Dothan, AL 36303 | 2018-08-14 |
| 1164887907 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 118 Obrannan Park Drive, Dothan, AL 36303 | 2015-12-21 |
| 1245634245 | Api Counseling, LLC | Community/Behavioral Health | 1583 Montgomery Highway, Dothan, AL 36303 | 2014-10-20 |
| 1467792382 | Bolanle Boladale Akinduro | Home Health | 107 Hidden Glen Way, Dothan, AL 36303 | 2013-03-01 |
| 1104162114 | Al Dental PC | Dentist | 3400 Montgomery Highway, Dothan, AL 36303 | 2012-12-19 |
| 1659661874 | Juanita Titrud Heersink | Internal Medicine | 210 Westside Drive, Dothan, AL 36303 | 2011-04-08 |
| 1790918548 | Brandi Bradshaw Reeves | Counselor | 100 Westside Dr., Dothan, AK 36303 | 2009-08-27 |
| 1396917589 | Brian Davis | Physical Therapist | 3763 Ross Clark Circle, Dothan, AL 36303 | 2008-03-27 |
| 1558544544 | Healthwest Dental Associates PC | Dentist | 502 Healthwest Drive, Dothan, AL 36303 | 2007-12-12 |
| 1770644775 | Christine Carroll Fain | Occupational Therapist | 3763 Ross Clark Cir Ste 1, Alacare Home Health, Dothan, AL 36303 | 2006-12-13 |
| Find all providers in zip 36303 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023289998 | Metro Oral & Maxillofacial | Dentist | 100 Metro Dr, Dothan, AL 36303-1985 | 2008-03-18 |
| 1003999202 | Hashim J Hassan | Dentist | 1801 W Main St, Suite 1, Dothan, AL 36301-1361 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386632420 | Warren W Arrasmith | Dentist | 429 17th St N, Bessemer, AL 35020 | 2005-10-12 |
| 1588777064 | Bradley K Rodu | Dentist | 619 19th Street South, Birmingham, AL 35233 | 2006-08-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.