Provider Demographics
NPI:1336228915
Name:JAMES G. SCHULZE, DDS, MS, A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:JAMES G. SCHULZE, DDS, MS, A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF THE PROFESSIONAL CORP.
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:GUERIN
Authorized Official - Last Name:SCHULZE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:714-847-8488
Mailing Address - Street 1:16168 BEACH BLVD
Mailing Address - Street 2:SUITE 90
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-3816
Mailing Address - Country:US
Mailing Address - Phone:714-847-8488
Mailing Address - Fax:714-847-1582
Practice Address - Street 1:16168 BEACH BLVD
Practice Address - Street 2:SUITE 90
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-3816
Practice Address - Country:US
Practice Address - Phone:714-847-8488
Practice Address - Fax:714-847-1582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA227591223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty