Individual
DR. EVAN RANDALL SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS,MSD
Contact information
Practice address
3110 WILLOWCREEK RD, PORTAGE, IN 46368-4424
(219) 477-0089
Mailing address
3110 WILLOWCREEK RD, PORTAGE, IN 46368-4424
(219) 477-0089
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12012798A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12012798A
INDIANA DENTAL LICENSE
IN
01
—
1223X0400X
ORTHODONTICS
IN
01
—
1420-51-3376
DRIVERS LICENSE NUMBER
IN
Enumeration date
05/27/2019
Last updated
05/27/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us