Organization
PARKS & SCHMIT ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON SCHMIT D.D.S., M.S. (DOCTOR/ORTHODONTIST)
(319) 363-3575
Entity
Organization
Contact information
Practice address
2727 1ST AVE SE, CEDAR RAPIDS, IA 52402-4844
(319) 363-3575
(319) 363-8886
Mailing address
2727 1ST AVE SE, CEDAR RAPIDS, IA 52402-4844
(319) 363-3575
(319) 363-8886
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008823
DELTA PROVIDER#
IA
05
—
0088237
—
IA
01
—
38292
BC/BS OF IA GRP PROV#
IA
Enumeration date
02/17/2006
Last updated
08/22/2020
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