| Dr Evan Randall Schmidt, DDS,MSD | |
|
3110 Willowcreek Rd, Portage, IN 46368-4424 | |
| (219) 477-0089 | |
| Not Available |
| Full Name | Dr Evan Randall Schmidt |
|---|---|
| Gender | Male |
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3110 Willowcreek Rd, Portage, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275190183 | NPI | - | NPPES |
| 1223X0400X | Other | IN | ORTHODONTICS |
| 12012798A | Other | IN | INDIANA DENTAL LICENSE |
| 1420-51-3376 | Other | IN | DRIVERS LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 12012798A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Evan Randall Schmidt, DDS,MSD 3110 Willowcreek Rd, Portage, IN 46368-4424 Ph: (219) 477-0089 | Dr Evan Randall Schmidt, DDS,MSD 3110 Willowcreek Rd, Portage, IN 46368-4424 Ph: (219) 477-0089 |
Dr. Stephanie L. Grider, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 6080 Lute Rd, Portage, IN 46368 Phone: 219-763-6646 Fax: 219-762-8763 | |
Dr. Yong Woong Lee, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6129 Us Highway 6, Portage, IN 46368 Phone: 219-600-8114 | |
Dr. Jennifer J Fontaine, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 6450 Us Highway 6, Portage, IN 46368 Phone: 219-763-8112 Fax: 219-764-6348 | |
Anne Marie Babb, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 3204 Lancer St Ste A, Portage, IN 46368 Phone: 219-762-5506 | |
Dr. Margaret Eileen Griffith, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2646 Lois Street, Portage, IN 46368 Phone: 219-762-3010 Fax: 219-762-7255 | |
Anthony Frederick Lent, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 6035 Sterling Creek Rd, Portage, IN 46368 Phone: 219-850-1218 | |
Dr. Bao Q Dinh, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6035 Sterling Creek Rd, Portage, IN 46368 Phone: 219-850-1218 |