Organization
DAVID A SCHULTE, DMD, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH AUSTIN-WHELAN (ACCOUNT MANAGER)
(502) 345-8281
Entity
Organization
Contact information
Practice address
4515 CHURCHMAN AVE, LOUISVILLE, KY 40215-1172
(502) 361-0637
Mailing address
4515 CHURCHMAN AVE, LOUISVILLE, KY 40215-1172
(502) 361-0637
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8532
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100012150
—
KY
Enumeration date
09/24/2015
Last updated
09/24/2015
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