Provider Demographics
NPI:1083415707
Name:SCHMALTZ, NICOLE SMOKER (RDH)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:SMOKER
Last Name:SCHMALTZ
Suffix:
Gender:
Credentials:RDH
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:LYNN
Other - Last Name:SMOKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12 PARSONS CT
Mailing Address - Street 2:
Mailing Address - City:COLDWATER
Mailing Address - State:MI
Mailing Address - Zip Code:49036-1118
Mailing Address - Country:US
Mailing Address - Phone:269-967-3100
Mailing Address - Fax:
Practice Address - Street 1:32 DIVISION ST
Practice Address - Street 2:
Practice Address - City:COLDWATER
Practice Address - State:MI
Practice Address - Zip Code:49036-1966
Practice Address - Country:US
Practice Address - Phone:269-978-8339
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2902010734124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist