| Shultz Family Dentistry Pllc | |
|
4290 Kinsey Dr Ste 300 Tyler TX 75703-1022 | |
| (903) 630-6868 | |
| (903) 630-6871 |
| Full Name | Shultz Family Dentistry Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4290 Kinsey Dr Ste 300, Tyler, Texas |
| Authorized Official Name and Position | Jared S Shultz (OFFICER) |
| Authorized Official Contact | 9036306868 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shultz Family Dentistry Pllc 4290 Kinsey Dr Ste 300 Tyler TX 75703-1022 Ph: (903) 630-6868 | Shultz Family Dentistry Pllc 4290 Kinsey Dr Ste 300 Tyler TX 75703-1022 Ph: (903) 630-6868 |
| NPI Number | 1134779994 |
|---|---|
| Provider Enumeration Date | 09/13/2019 |
| Last Update Date | 09/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134779994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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