Provider Demographics
NPI:1194826867
Name:SCHLOTT, WARREN JAMES (DDS)
Entity Type:Individual
Prefix:DR
First Name:WARREN
Middle Name:JAMES
Last Name:SCHLOTT
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 1:1220 E BIRCH ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-5155
Mailing Address - Country:US
Mailing Address - Phone:714-529-5921
Mailing Address - Fax:714-529-9609
Practice Address - Street 1:1220 E BIRCH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-5155
Practice Address - Country:US
Practice Address - Phone:714-529-5921
Practice Address - Fax:714-529-9609
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA276831223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA6418410001Medicare NSC