Provider Demographics
NPI:1437456001
Name:PLAZA HEALTH DENTISTRY
Entity Type:Organization
Organization Name:PLAZA HEALTH DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHLOTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:314-843-0500
Mailing Address - Street 1:9420 WATSON RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63126-1529
Mailing Address - Country:US
Mailing Address - Phone:314-843-0500
Mailing Address - Fax:
Practice Address - Street 1:9420 WATSON RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63126-1529
Practice Address - Country:US
Practice Address - Phone:314-843-0500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-17
Last Update Date:2011-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MODE015548261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental