Provider Demographics
NPI:1467982769
Name:SCHLAGETER, KAILEY FRITZ (DDS)
Entity Type:Individual
Prefix:DR
First Name:KAILEY
Middle Name:FRITZ
Last Name:SCHLAGETER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:KAILEY
Other - Middle Name:ROSE
Other - Last Name:FRITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13440 N 44TH ST APT 3088
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-6398
Mailing Address - Country:US
Mailing Address - Phone:715-410-7079
Mailing Address - Fax:
Practice Address - Street 1:15182 N 75TH AVE STE 120
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-4722
Practice Address - Country:US
Practice Address - Phone:623-688-5099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-19
Last Update Date:2018-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD009786122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist