Provider Demographics
NPI:1083833693
Name:SCHULTE, AMY N (DDS)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:N
Last Name:SCHULTE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:N
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:376 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:MO
Mailing Address - Zip Code:65536-2069
Mailing Address - Country:US
Mailing Address - Phone:303-618-4273
Mailing Address - Fax:
Practice Address - Street 1:376 SUNSET DR
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:MO
Practice Address - Zip Code:65536-2069
Practice Address - Country:US
Practice Address - Phone:303-618-4273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO88621223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics