Provider Demographics
NPI:1689832990
Name:SCHUYLER FAMILY DENTISTRY, PC
Entity Type:Organization
Organization Name:SCHUYLER FAMILY DENTISTRY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:SCHUYLER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:503-982-5315
Mailing Address - Street 1:979 YOUNG ST
Mailing Address - Street 2:SUITE F
Mailing Address - City:WOODBURN
Mailing Address - State:OR
Mailing Address - Zip Code:97071-4915
Mailing Address - Country:US
Mailing Address - Phone:503-982-5315
Mailing Address - Fax:503-982-4379
Practice Address - Street 1:979 YOUNG ST
Practice Address - Street 2:SUITE F
Practice Address - City:WOODBURN
Practice Address - State:OR
Practice Address - Zip Code:97071-4915
Practice Address - Country:US
Practice Address - Phone:503-982-5315
Practice Address - Fax:503-982-4379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-23
Last Update Date:2008-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty