| Craig A. Schlie, Dds, Inc. | |
| 
					405 South Street Suite A Redding CA 96001-2101  | |
| (530) 244-6054 | |
| (530) 244-6056 | 
| Full Name | Craig A. Schlie, Dds, Inc. | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 405 South Street, Redding, California | 
| Authorized Official Name and Position | Craig Allen Schlie (CEO) | 
| Authorized Official Contact | 5302446054 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Craig A. Schlie, Dds, Inc. 405 South Street Suite A Redding CA 96001-2101 Ph: (530) 244-6054  | Craig A. Schlie, Dds, Inc. 405 South Street Suite A Redding CA 96001-2101 Ph: (530) 244-6054  | 
| NPI Number | 1215149166 | 
|---|---|
| Provider Enumeration Date | 05/04/2007 | 
| Last Update Date | 08/22/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1215149166 | NPI | - | NPPES | 
| B27366-02 | Medicaid | CA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5995 (Nebraska) | Secondary | 
| 1223G0001X | Dentist - General Practice | 27366 (California) | Primary | 
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