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Dr. Evan Randall Schmidt, DDS,MSD
Orthodontics and Dentofacial Orthopedic Dentist in Portage, Indiana
NPI 1275190183

Evan Randall Schmidt is a Orthodontics and Dentofacial Orthopedic Dentist based in Portage, IN and is specialized in Orthodontics and Dentofacial Orthopedics. Evan Randall Schmidt practices in Portage, IN and has the professional credentials of DDS,MSD. The NPI Number for Evan Randall Schmidt is 1275190183 and holds a License No. 12012798A (Indiana).

The current practice location address for Evan Randall Schmidt is 3110 Willowcreek Rd, Portage, IN and can be reached out via phone at 219-477-0089.

Location: 3110 Willowcreek Rd, Portage, IN, 46368-4424
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275190183
Provider Name
Evan Randall Schmidt
Credential
DDS,MSD
Provider Entity Type
Individual
Gender
Male
Address
3110 Willowcreek Rd, Portage, IN, 46368-4424
Phone Number
219-477-0089
Fax Number
Provider Enumeration Date
05/27/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1223X0400X 01 IN ORTHODONTICS
12012798A 01 IN INDIANA DENTAL LICENSE
1420-51-3376 01 IN DRIVERS LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
3110 Willowcreek Rd
City
Portage
State
Indiana
Zip
46368-4424
Phone Number
219-477-0089
Fax Number
person
Provider Business Mailing Address Details
Address
3110 Willowcreek Rd
City
Portage
State
Indiana
Zip
46368-4424
Phone Number
219-477-0089
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
12012798A (Indiana)
Definition
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 functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
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