| Dr. Michael W. Schulte | |
|
623 Garrisonville Rd Stafford VA 22554-3710 | |
| (540) 659-6650 | |
| (540) 657-0576 |
| Full Name | Dr. Michael W. Schulte |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 623 Garrisonville Rd, Stafford, Virginia |
| Authorized Official Name and Position | Michael William Schulte (DENTISIT /OWNER) |
| Authorized Official Contact | 5406596650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Michael W. Schulte Po Box 279 623 Garrisonville Road Stafford VA 22555-0279 Ph: (540) 659-6650 | Dr. Michael W. Schulte 623 Garrisonville Rd Stafford VA 22554-3710 Ph: (540) 659-6650 |
| NPI Number | 1467882654 |
|---|---|
| Provider Enumeration Date | 11/25/2013 |
| Last Update Date | 11/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467882654 | NPI | - | NPPES |
| 1982611182 | Medicaid | VA | |
| 1306193461 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0401005624 (Virginia) | Secondary |
| 261QD0000X | Clinic/center - Dental | 040413627 (Virginia) | Primary |
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