Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 22D100830100 | NJ |
NPI | 1003026063 |
---|---|
Provider Name | Dr. Richard Donald Schmidt |
First Address | Saddle River, NJ 07458-2600 |
Second Address | Saddle River, NJ 07458-2600 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2007 |
Last Update Date | 08/07/2007 |