Organization Active NPI

Schmitt Dental PC

  • General Practice Dentistry
  • Clarksville, TN
National Provider Identifier
1770128977
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SCHMITT DENTAL PC
Practice address
1692 Fort Campbell Blvd
Clarksville, TN 37042-7531
Phone
(931) 552-7745
Fax
(931) 645-3545
NPI assigned
Nov 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Madeline Hoesten
Title
VP Ofi Integraton
Phone
(549) 675-3088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1692 Fort Campbell Blvd
Clarksville, TN 37042-7531

Mailing address

1692 Fort Campbell Blvd
Clarksville, TN 37042-7531
Phone (931) 552-7745

Other names 1

  • Schmitt Dental PC Doing business as

National Provider Directory

National Provider Directory

Locations

1692 Fort Campbell Blvd
Clarksville, TN 37042
Phone (931) 552-7745

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1770128977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1692 FORT CAMPBELL BLVD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370427531",
            "telephone_number": "931-552-7745",
            "fax_number": "931-645-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1692 FORT CAMPBELL BLVD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370427531",
            "telephone_number": "931-552-7745",
            "fax_number": "931-645-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHMITT DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-12",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "HOESTEN",
        "authorized_official_first_name": "MADELINE",
        "authorized_official_title_or_position": "VP OFI INTEGRATON",
        "authorized_official_telephone_number": "549-675-3088"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Schmitt Dental PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.