Provider Demographics
NPI:1740471085
Name:SCHELLING, KATIE L (DDS)
Entity type:Individual
Prefix:MS
First Name:KATIE
Middle Name:L
Last Name:SCHELLING
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:615 ONTARIO ST SE
Mailing Address - Street 2:16
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55414-3153
Mailing Address - Country:US
Mailing Address - Phone:612-623-3814
Mailing Address - Fax:
Practice Address - Street 1:9055 SPRINGBROOK DR NW
Practice Address - Street 2:201
Practice Address - City:COON RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:55433-5841
Practice Address - Country:US
Practice Address - Phone:763-786-4632
Practice Address - Fax:763-786-8673
Is Sole Proprietor?:No
Enumeration Date:2007-08-01
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MND124661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice