Provider Demographics
NPI:1780074534
Name:SCHULTZ, NEIL (DDS)
Entity type:Individual
Prefix:
First Name:NEIL
Middle Name:
Last Name:SCHULTZ
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 1:9900 MCFADDEN
Mailing Address - Street 2:STE. 101
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92386
Mailing Address - Country:US
Mailing Address - Phone:714-531-5770
Mailing Address - Fax:
Practice Address - Street 1:9900 MCFADDEN
Practice Address - Street 2:STE. 101
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92386
Practice Address - Country:US
Practice Address - Phone:714-531-5770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-02
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA279231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice