Provider Demographics
NPI:1851514541
Name:SCHULER MITCHELL, KATRINA (DDS)
Entity Type:Individual
Prefix:DR
First Name:KATRINA
Middle Name:
Last Name:SCHULER MITCHELL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:740 FERST DR
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30332-0470
Mailing Address - Country:US
Mailing Address - Phone:404-385-5148
Mailing Address - Fax:404-385-5151
Practice Address - Street 1:740 FERST DR
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30332-0470
Practice Address - Country:US
Practice Address - Phone:404-385-5148
Practice Address - Fax:404-385-5151
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN011930122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist