Provider Demographics
NPI:1851412985
Name:SCHULZE, DENNIS L (DDS)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:L
Last Name:SCHULZE
Suffix:
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 1:4001 HIGHWAY K
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63368-8136
Mailing Address - Country:US
Mailing Address - Phone:636-926-9221
Mailing Address - Fax:636-926-7209
Practice Address - Street 1:4001 HIGHWAY K
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:MO
Practice Address - Zip Code:63368-8136
Practice Address - Country:US
Practice Address - Phone:636-926-9221
Practice Address - Fax:636-926-7209
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0146321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice