Provider Demographics
NPI:1851308373
Name:SCHULTZ, ALEXANDER PAUL JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:PAUL
Last Name:SCHULTZ
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1319 INVITATIONAL DR
Mailing Address - Street 2:
Mailing Address - City:METAMORA
Mailing Address - State:MI
Mailing Address - Zip Code:48455-8703
Mailing Address - Country:US
Mailing Address - Phone:810-678-8196
Mailing Address - Fax:
Practice Address - Street 1:4053 S LAPEER RD
Practice Address - Street 2:B
Practice Address - City:METAMORA
Practice Address - State:MI
Practice Address - Zip Code:48455-8721
Practice Address - Country:US
Practice Address - Phone:810-678-2244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010138181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice