Provider Demographics
NPI:1306392121
Name:CHRIS SCHULTZ, DDS, PLLC
Entity Type:Organization
Organization Name:CHRIS SCHULTZ, DDS, PLLC
Other - Org Name:CHAPEL HILLS ORTHODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHULTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:307-752-4784
Mailing Address - Street 1:315 GREEN ROCK PL
Mailing Address - Street 2:
Mailing Address - City:MONUMENT
Mailing Address - State:CO
Mailing Address - Zip Code:80132-7942
Mailing Address - Country:US
Mailing Address - Phone:307-752-4784
Mailing Address - Fax:
Practice Address - Street 1:9240 EXPLORER DR STE 115
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-5004
Practice Address - Country:US
Practice Address - Phone:719-528-7022
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-31
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO002020491223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty