Provider Demographics
NPI:1285721159
Name:ELIZABETH K SCHMAHL DDS PLLC
Entity type:Organization
Organization Name:ELIZABETH K SCHMAHL DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST SELF EMPLOYED
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:K
Authorized Official - Last Name:SCHMAHL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:520-883-5848
Mailing Address - Street 1:3029 SOUTH KINNEY RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85713
Mailing Address - Country:US
Mailing Address - Phone:520-883-5848
Mailing Address - Fax:520-883-1069
Practice Address - Street 1:3029 SOUTH KINNEY RD
Practice Address - Street 2:SUITE B
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85713
Practice Address - Country:US
Practice Address - Phone:520-883-5848
Practice Address - Fax:520-883-1069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5381122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty