Individual ProviderCharles Otto SchmudeDentistDental ProvidersPractice Address625 E Liberty St, Suite 203, Ann Arbor, MI 48104-2013(734) 668-7331PECOS EnrollmentBased on the most recent information from CMS, provider Charles Otto Schmude does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1841334000Provider TypeIndividualFull NameSchmude, Charles OttoCredentialDDSGenderMaleSole ProprietorYesEnumeration Date2/19/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address625 E Liberty St, Suite 203, Ann Arbor, MI 48104-2013Phone(734) 668-7331FaxUnlisted FaxMailing LocationMailing Address625 E Liberty St, Suite 203, Ann Arbor, MI 48104-2013Phone(734) 668-7331FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense2901010026Michigan