Individual
DR. DAVID PETER SCHMIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS,MD
Contact information
Practice address
DIVISION OF ORAL AND MAXILLOFACIAL SURGERY, COLLEGE OF DENTISTRY, LEXINGTON, KY 40536-0001
(859) 323-5749
(859) 323-5858
Mailing address
464 S. HICKORY, STE A, FOND DU LAC, WI 54935
(920) 923-0111
(920) 923-0366
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
54467-20
WI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6498-15
WI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
8018
KY
Other
Enumeration date
07/09/2008
Last updated
07/29/2010
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