Individual provider · Type 1 NPI

Evan Randall Schmidt, DDS, MSD

Orthodontics and Dentofacial Orthopedics Dentistry · Portage, IN

NPI number 1275190183 Active

Practice location

3110 Willowcreek Rd
Portage, IN 46368-4424

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X12012798A (IN)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1275190183

Evan Randall Schmidt, DDS, MSD's National Provider Identifier is 1275190183, issued on May 27, 2019. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Portage, IN. The record was last updated on May 27, 2019.