NPI 1033680830 · live from the CMS NPI Registry
Aaron Schamback, DMD, PA
Dentist, General Practice in Port Saint Lucie, FL. National Provider Identifier 1033680830, active.
NPI record
| NPI | 1033680830 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 155 Sw Port Saint Lucie Blvd, Suite #101, Port Saint Lucie, FL 34984 |
| Practice phone | 772-398-0990 |
| Enumerated | December 6, 2018 |
| Last updated | December 6, 2018 |
| Authorized official | Aaron Schamback, Dentist/Owner |
| Other names | Great Smile Dental |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.