Mark Alan Schemmel, DDS
Individual provider Active NPI General Practice Dentistry · Dubuque, IA
NPI 1861985269 · NPPES record last updated Jun 11, 2018
Key facts
- NPI
- 1861985269
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 09560 (IA)
- Practice address
- 3455 Stoneman Rd Ste 4
Dubuque, IA 52002-5292 - Phone
- (563) 556-0234
- Fax
- (563) 556-0235
- NPI assigned
- Jun 11, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09560 | IA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wertz & Wertz Dental Associates PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 09560 | IA | Yes |
Addresses
Primary practice location
3455 Stoneman Rd Ste 4
Dubuque, IA 52002-5292
Mailing address
3455 Stoneman Rd Ste 4
Dubuque, IA 52002-5292
Phone (563) 556-0234
Other providers in Dubuque, IA
- Amanda Schaul
- Taylor Ann Schaul
- Renee Lynn Scheitzach
- Andrew Schemmel
- Jerad Charles Schemmel
- Mitchell Charles Schemmel
- Scott Paul Schemmel
- Faith Catherine Schier
- Kathleen Marie Schleicher
- Nicole Marie Schlosser
All providers in Dubuque, IA · General Practice Dentistry in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.