Organization
DR. MICHAEL W. SCHULTE
Active
Other names
Stafford Smiles Cosmetic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL WILLIAM SCHULTE D.D.S. (DENTISIT /OWNER)
(540) 659-6650
Entity
Organization
Contact information
Practice address
623 GARRISONVILLE RD, STAFFORD, VA 22554-3710
(540) 659-6650
(540) 657-0576
Mailing address
PO BOX 279, 623 GARRISONVILLE ROAD, STAFFORD, VA 22555-0279
(540) 659-6650
(540) 657-0576
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
0401005624
VA
261QD0000X
Dental Clinic/Center
Primary
040413627
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306193461
—
VA
05
—
1982611182
—
VA
Enumeration date
11/25/2013
Last updated
11/25/2013
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