Provider Demographics
NPI:1942467063
Name:ZELLER SCHILLING, LUANN RENEE (RDH)
Entity Type:Individual
Prefix:MRS
First Name:LUANN
Middle Name:RENEE
Last Name:ZELLER SCHILLING
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:LUANN
Other - Middle Name:RENEE
Other - Last Name:SCHILLING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:621 SMITH ST
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80524-3120
Mailing Address - Country:US
Mailing Address - Phone:970-407-9983
Mailing Address - Fax:
Practice Address - Street 1:COLORADO STATE UNIVERSITY
Practice Address - Street 2:HARTSHORN HEALTH SERVICE
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80523-0001
Practice Address - Country:US
Practice Address - Phone:970-491-7121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-16
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2207124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist