Provider Demographics
NPI:1003690678
Name:SHULER DENTAL OFFICE, S.C.
Entity Type:Organization
Organization Name:SHULER DENTAL OFFICE, S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:SHULER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:608-676-4812
Mailing Address - Street 1:714 MILWAUKEE RD
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:WI
Mailing Address - Zip Code:53525-8902
Mailing Address - Country:US
Mailing Address - Phone:608-676-4812
Mailing Address - Fax:
Practice Address - Street 1:714 MILWAUKEE RD
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:WI
Practice Address - Zip Code:53525-8902
Practice Address - Country:US
Practice Address - Phone:608-676-4812
Practice Address - Fax:608-676-5229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-23
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental