Provider Demographics
NPI:1053797548
Name:SCHMITT, JOANNA MARIE (DDS)
Entity type:Individual
Prefix:DR
First Name:JOANNA
Middle Name:MARIE
Last Name:SCHMITT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 E WINDMILL LN STE 130
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-1845
Mailing Address - Country:US
Mailing Address - Phone:702-228-1106
Mailing Address - Fax:702-541-9849
Practice Address - Street 1:500 E WINDMILL LN STE 130
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-1845
Practice Address - Country:US
Practice Address - Phone:702-228-1106
Practice Address - Fax:702-541-9849
Is Sole Proprietor?:No
Enumeration Date:2015-08-06
Last Update Date:2015-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV6649122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist