Individual
DR. ALLEN DUANE SCHULTZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2690 DISPATCH RD, QUINTON, VA 23141-1726
(804) 932-4940
(804) 932-8949
Mailing address
PO BOX 130, QUINTON, VA 23141-0130
(804) 932-4940
(804) 932-8949
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401005309
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110202
ANTHEM PROVIDER #
VA
01
—
545070
UNITED CONCORDIA PROVIDER
—
Enumeration date
07/07/2005
Last updated
07/08/2007
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