Provider Demographics
NPI:1962599514
Name:SCHMERMAN, MICHAEL LEE (DDS)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:LEE
Last Name:SCHMERMAN
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6677 N LINCOLN AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:LINCOLNWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60712-3634
Mailing Address - Country:US
Mailing Address - Phone:847-674-3014
Mailing Address - Fax:847-674-6190
Practice Address - Street 1:6677 N LINCOLN AVE STE 300
Practice Address - Street 2:
Practice Address - City:LINCOLNWOOD
Practice Address - State:IL
Practice Address - Zip Code:60712-3634
Practice Address - Country:US
Practice Address - Phone:847-674-3014
Practice Address - Fax:847-674-6190
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0210010061223P0300X
IL019-0154521223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics