# NEW IMAGE MAXILLOFACIAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Richard W Schmid DDS PA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194767707
- **Authorized official:** DR. RICHARD W SCHMID DDS (MANAGER)
- **Authorized official phone:** (321) 725-5377

## Contact information

- **Practice address:** 1325 S PINE ST, SUITE 102, MELBOURNE, FL 32901-3189
- **Practice address phone:** (321) 725-5377
- **Practice address fax:** (321) 951-3393
- **Mailing address:** 1325 S PINE ST, SUITE 102, MELBOURNE, FL 32901-3189
- **Mailing address phone:** (321) 725-5377
- **Mailing address fax:** (321) 951-3393

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DN7413 | FL | Yes |

## Other

- **Enumeration date:** 06/11/2006
- **Last updated:** 05/19/2014