Provider Demographics
NPI:1194939306
Name:WILLIAM H. SCHMUNK D.D.S.
Entity type:Organization
Organization Name:WILLIAM H. SCHMUNK D.D.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:DENNIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-336-6142
Mailing Address - Street 1:PO BOX 610
Mailing Address - Street 2:
Mailing Address - City:MCARTHUR
Mailing Address - State:CA
Mailing Address - Zip Code:96056-0610
Mailing Address - Country:US
Mailing Address - Phone:530-336-6142
Mailing Address - Fax:530-336-6747
Practice Address - Street 1:44255 STATE HIGHWAY 299 E
Practice Address - Street 2:
Practice Address - City:MCARTHUR
Practice Address - State:CA
Practice Address - Zip Code:96056-8571
Practice Address - Country:US
Practice Address - Phone:530-336-6142
Practice Address - Fax:530-336-6747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27922122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty