Schmidtke, Craig D
Schmidtke, Craig D is an sole proprietor health care provider with primary practice located at 100 Metro Dr , Dothan AL 36303-1985. He recently has 3 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Pathology, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Radiology. Dental Providers / Oral and Maxillofacial Pathology is his primary health care specialty. Schmidtke, Craig D can be contacted via phone (334) 699-5555.Contact Information
Primary practice address
100 Metro Dr
Dothan AL 36303-1985
Phone: (334) 699-5555
Fax: (334) 699-5558
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | 5391C | Alabama |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 5391C | Alabama |
| Dental Providers / Oral and Maxillofacial Radiology | 1223X0008X | 5391C | Alabama |
Profile Details
| NPI number | 1467550400 |
|---|---|
| LBN Legal business name | Schmidtke, Craig D |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467550400 | NPPES |
| Alabama | Other | 51529237 | BCBS OF AL PROVIDER #I |
| Alabama | Other | 5391C | BCBS OF AL PROVIDER #I |
| Alabama | Other | 755031 | BCBS OF AL PROVIDER #I |
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