Provider Demographics
NPI:1285373688
Name:JAMES T SCHULTZ D.D.S.
Entity type:Organization
Organization Name:JAMES T SCHULTZ D.D.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:SYLVESTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-827-1220
Mailing Address - Street 1:26206 W 12 MILE RD STE 104
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034-1799
Mailing Address - Country:US
Mailing Address - Phone:248-827-1220
Mailing Address - Fax:248-827-8180
Practice Address - Street 1:26206 W 12 MILE RD STE 104
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-1799
Practice Address - Country:US
Practice Address - Phone:248-827-1220
Practice Address - Fax:248-827-8180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-02
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty