NPI 1003048224

Todd Alan Schultz, DMD

Practitioner Oral and Maxillofacial Surgery (Dentist) Scott Afb, IL

Practice location

Address: 310 W Losey St, Scott Afb, IL 62225-5250
Phone: (618) 256-7079

Registered specialties (2)

Oral and Maxillofacial Surgery (Dentist) Primary

Dental Providers Taxonomy 1223S0112X Licence 019.027715 (IL)

Other Dentist providers in Illinois →

Dentist

Dental Providers Taxonomy 122300000X Licence 019.027715 (IL)

Registry record

NPI: 1003048224
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Aug 2009
Record last updated: 28 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.