Provider Demographics
NPI:1831874122
Name:SCHULZ, RILEY MARGARET (DDS)
Entity type:Individual
Prefix:
First Name:RILEY
Middle Name:MARGARET
Last Name:SCHULZ
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 1:3234 4TH ST SE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55414-3320
Mailing Address - Country:US
Mailing Address - Phone:715-209-3836
Mailing Address - Fax:
Practice Address - Street 1:16372 KENRICK AVE STE 200
Practice Address - Street 2:
Practice Address - City:LAKEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55044-3502
Practice Address - Country:US
Practice Address - Phone:952-435-5905
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-15
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND149251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice