Individual
CRAIG D SCHMIDTKE
Active
Individual
CRAIG D SCHMIDTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
5391C
AL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
5391C
AL
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
5391C
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51529237
BCBS OF AL PROVIDER #I
AL
01
—
5391C
ALABAMA LICENSE #
AL
01
—
755031
UNITED CONCORDIA PROVI #
AL
Enumeration date
09/21/2006
Last updated
09/11/2025
Update your record
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