Provider Demographics
NPI:1336965920
Name:WESLEY SCHEMMER, DDS, LLC
Entity type:Organization
Organization Name:WESLEY SCHEMMER, DDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:WESLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHEMMER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:660-909-4446
Mailing Address - Street 1:1113 S NATCHEZ RD
Mailing Address - Street 2:
Mailing Address - City:REPUBLIC
Mailing Address - State:MO
Mailing Address - Zip Code:65738-7855
Mailing Address - Country:US
Mailing Address - Phone:609-909-4446
Mailing Address - Fax:
Practice Address - Street 1:301 E CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:MO
Practice Address - Zip Code:64836-2307
Practice Address - Country:US
Practice Address - Phone:417-358-2013
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-27
Last Update Date:2024-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental