# DR. JEREMY SCHOLZEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1063596104
- **Gender:** Man
- **Credential:** DMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 30022222 | OH | — |
| 1223P0221X | Pediatric Dentistry | 6329558-9922 | UT | Yes |
| 1223P0221X | Pediatric Dentistry | S6-85 | NV | — |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 08/09/2007