Provider Demographics
NPI:1528149986
Name:SCHULTE, ROBERT CHARLES (DDS)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:CHARLES
Last Name:SCHULTE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 E 1ST ST.
Mailing Address - Street 2:BOX 266
Mailing Address - City:MINNEOTA
Mailing Address - State:MN
Mailing Address - Zip Code:56264
Mailing Address - Country:US
Mailing Address - Phone:507-872-6403
Mailing Address - Fax:507-872-6961
Practice Address - Street 1:102 E 1ST ST.
Practice Address - Street 2:BOX 266
Practice Address - City:MINNEOTA
Practice Address - State:MN
Practice Address - Zip Code:56264
Practice Address - Country:US
Practice Address - Phone:507-872-6403
Practice Address - Fax:507-872-6961
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN77061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice