Individual
DR. TANYA SCHULZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
14934 LORI RD SE, PRIOR LAKE, MN 55372-2126
(612) 968-0918
Mailing address
14934 LORI RD SE, PRIOR LAKE, MN 55372-2126
(612) 968-0918
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11137
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28012SC
BCBS
MN
05
—
299317100
—
MN
Enumeration date
01/06/2006
Last updated
02/26/2026
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