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DR. CHARLES J SCHULTZ DDS OMFS NPI 1770779548


NPI Profile

NPI: 1770779548
Provider Name: DR. CHARLES J SCHULTZ, DDS, OMFS
Classification:Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Address:
2220 DUNN ST
JUNEAU, AK
ZIP 99801
Get Directions

Phone: (907) 586-9586

DR. Charles J Schultz, DDS, OMFS is an oral and maxillofacial surgery dentist in Juneau, AK. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Charles J Schultz, DDS, OMFS NPI is 1770779548. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2220 DUNN ST
JUNEAU, AK
ZIP 99801-304
Phone: (907) 586-9586
Fax: (907) 586-1849

The enumeration date for this NPI number is 9/14/2007 and was last updated on 2/4/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery111ALASKANo
21223S0112XDentistOral and Maxillofacial Surgery961ALASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DDO961MEDICAIDALASKA
21003247MEDICAIDALASKA

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: 4/11/2021

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