| Kevin K Schultz, DDS, PC | |
|
10 Heartland Dr Suite C Bloomington IL 61704-7741 | |
| (309) 663-1721 | |
| Not Available |
| Full Name | Kevin K Schultz, DDS, PC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10 Heartland Dr, Bloomington, Illinois |
| Authorized Official Name and Position | Kevin Kelso Schultz (PRESIDENT) |
| Authorized Official Contact | 3096631721 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin K Schultz, DDS, PC 10 Heartland Dr Suite C Bloomington IL 61704-7741 Ph: (309) 663-1721 | Kevin K Schultz, DDS, PC 10 Heartland Dr Suite C Bloomington IL 61704-7741 Ph: (309) 663-1721 |
| NPI Number | 1447642384 |
|---|---|
| Provider Enumeration Date | 03/02/2015 |
| Last Update Date | 03/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447642384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019.018656 (Illinois) | Primary |
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