# SHULTZ FAMILY DENTISTRY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134779994
- **Authorized official:** JARED S SHULTZ DDS (OFFICER)
- **Authorized official phone:** (903) 630-6868

## Contact information

- **Practice address:** 4290 KINSEY DR STE 300, TYLER, TX 75703-1022
- **Practice address phone:** (903) 630-6868
- **Practice address fax:** (903) 630-6871
- **Mailing address:** 4290 KINSEY DR STE 300, TYLER, TX 75703-1022
- **Mailing address phone:** (903) 630-6868
- **Mailing address fax:** (903) 630-6871

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/13/2019
- **Last updated:** 09/13/2019