Provider Demographics
NPI:1568029379
Name:SCHOOLER, JULIA CAROLE
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:CAROLE
Last Name:SCHOOLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 HATCHETT CT
Mailing Address - Street 2:
Mailing Address - City:GLASGOW
Mailing Address - State:KY
Mailing Address - Zip Code:42141-2133
Mailing Address - Country:US
Mailing Address - Phone:270-651-3823
Mailing Address - Fax:270-651-3823
Practice Address - Street 1:104 HATCHETT CT
Practice Address - Street 2:
Practice Address - City:GLASGOW
Practice Address - State:KY
Practice Address - Zip Code:42141-2133
Practice Address - Country:US
Practice Address - Phone:270-651-3823
Practice Address - Fax:270-651-3823
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-28
Last Update Date:2019-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN9309122300000X
KY5458122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist