KEVIN K SCHULTZ DDS PC NPI 1447642384

NPI Information

NPI: 1447642384
Provider Name: KEVIN K SCHULTZ, DDS, PC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
10 HEARTLAND DR
SUITE C
BLOOMINGTON, IL
ZIP 61704
Phone: (309) 663-1721
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KEVIN K SCHULTZ, DDS, PC is a dental clinic center in Bloomington, IL. KEVIN K SCHULTZ, DDS, PC NPI is 1447642384. The provider is registered as an organization entity type.

The provider's business location address is:

10 HEARTLAND DR
SUITE C
BLOOMINGTON, IL
ZIP 61704-741
Phone: (309) 663-1721

The provider's authorized official is Kevin Kelso Schultz .
The authorized official title is President and has the following contact phone number (309) 663-1721.

The enumeration date for this NPI number is 3/2/2015 and was last updated on 3/2/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	019.018656	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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