Provider Demographics
NPI:1386804367
Name:SCHMOYER, ANGELA RUTH (DMD)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:RUTH
Last Name:SCHMOYER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:641 CREEK RD
Mailing Address - Street 2:
Mailing Address - City:BATH
Mailing Address - State:PA
Mailing Address - Zip Code:18014-9368
Mailing Address - Country:US
Mailing Address - Phone:610-837-0577
Mailing Address - Fax:
Practice Address - Street 1:2546 FREEMANSBURG AVENUE
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-2546
Practice Address - Country:US
Practice Address - Phone:610-252-0646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-12
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0368931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice